Non-physician (NPP) practitioners are practicing in just about every specialty. Financially the addition of NPPs makes sense to the practice vs. adding another physician. However, adding an NPP to your practice can generate troubles too – primarily surrounding compliance and reimbursement if you don’t have a firm handle on how to bill incident-to.
How you bill for your NPP’s services usually depends on your State’s Scope of Practice Guidelines and the services performed. Based on these factors, sometimes you’ll bill your NPP services incident-to your physician’s NPI#. The benefit of billing incident-to is that the services are reimbursed at the same rate as your physician’s. But you must meet specific guidelines in order for incident-to billing to be justified.
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.