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June 2014
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  • Be Familiar with Incident To if You Hire Physician Extenders

    Some doctors employ physician extenders to meet patient demand and to juggle fluctuating patient volume. If you're in this camp, it's imperative that you adhere to proper billing protocols for incident to in order to be compliant with regulatory requirements - and to avoid potential fines or recoupments.

    Start by following these key procedures:    

    • Incident to protocols should never be used to bill for services of physician extenders (nurse practitioners and physician assistants) for instances in which a patient does not already have an established relationship with a practice physician (new patient visits with the physician extender).
    • The collaborating physician must always be on site and available for immediate consultation with the physician extender and patient when the incident to service is provided.

    Learn more with ISMS' Issue Brief, 'Incident To' Explained.

    Questions? Contact the ISMS Division of Health Policy Research and Advocacy via email or call 800-782-4767 ext. 1470.

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