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Free Decision Tree: Medicare’s “Incident-to” for Nonphysician Provider (NPP) Services

COST: FREE! (a $187 value)

Are you fully leveraging Medicare’s ‘Incident-to’ billing guidelines for Nonphysician Provider (NPP) services? Knowing when to bill under the NPP’s name versus the physician’s name is critical—not just for regulatory compliance but also for optimizing your revenue stream. Whether you’re a practice manager or a healthcare provider, understanding this decision tree can make a significant difference in your bottom line.

By billing correctly, you not only ensure compliance but also maximize reimbursement rates. Billing under the physician’s name often allows for higher payments, but it must meet strict requirements, such as the physician’s direct involvement and supervision. On the other hand, billing under the NPP’s name can streamline workflows and expand patient care access, especially in cases where supervision requirements aren’t met.

This “Incident-to Decision Tree” can help. In one quick and easy flow chart, you’ll be able to determine if a claim should be filed incident-to or not. You’ll gain confidence in your NPP coding and should see your NPP reimbursement boost, and your denials decline.

To access your FREE decision tree, simply complete this online form. There is no cost to you whatsoever, and your free tool will be available for download immediately.

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