Stop Incident-to Violations, Penalties and Fines


Stringent incident-to billing requirements can either be an opportunity for you to increase your reimbursement or leave you in a legal nightmare.

Incident-to requirements are tricky (i.e. supervision, location exceptions, scope of practice, employment status requirements, etc.). Failure to comply with them can lead to overpayments to you (which if not handled correctly can open up additional legal and financial headaches). Or worse, your provider can face substantial violation penalties.

Although billing for incident-to services can be a hassle, their financial benefits can be significant, if you know what you’re doing…

That’s where healthcare attorneys, Daphne L. Kackloudis, Esq. and Ashley B. Watson, Esq., can help. During their online training session, they’ll provide you with an easy-to-follow incident-to guide that will help you ensure your NPP claims are correct, and that you’re accurately and optimally reimbursed for their services.

By viewing this 60-minute attorney-led online training, you’ll receive step-by-step, plain-English tactics to help you more easily comply with incident-to regulations. Here are just a few:

  • Cut through the confusion of physician supervision rules
  • Clearly determine what benefit categories you are not allowed to bill as incident-to
  • Increase your billing opportunities by uncovering location exceptions that qualify
  • Pin down the division between new and established patient guidelines
  • Determine what employment statuses are approved for incident-to billing
  • Reveal when state incident-to supervision laws kick in
  • Identify how Medicaid incident-to rules differ from Medicare
  • Utilize exclusion screening to head off massive violation penalties
  • And so much more…

Who should view? All practices, clinics and facilities that bill outpatient services for NPPs. Even if you think you know what incident-to billing entails, the statute governing these services are quite nuanced and easy to violate. Accordingly, this training will be helpful to both those new and experienced in billing incident-to services.

After completing this online training, you’ll be able to pinpoint the most common incident-to billing compliance pitfalls and traps. Doing so will help you avoid regulation violations and the hefty fines and criminal charges that can result from noncompliance.

Accurately billing your eligible NPP services as incident-to can have a significant impact on your bottom line (considering you’ll be paid 15% more for the services). Get paid the extra revenue you deserve without risking ending up in financial and legal hot water. Don’t wait, order today.

Meet Your Experts

Daphne Kackloudis
Esq.Partner at Brennan, Manna & Diamond

Daphne L. Kackloudis is a member of the firm, she heads BMD Columbus’ health care practice, and she chairs BMD’s Empowerment and Opportunity (DE&I) Committee. Daphne’s success –and that of her clients – is rooted in the nexus between traditional health care legal services and health care public policy. She has broad and deep experience in health care operations, service delivery, payment systems, and compliance, as well as Medicaid, public policy, and government affairs. Daphne advises health care trade associations and health care providers as outside counsel and in-house as a member of her clients’ senior leadership teams.

Ashley Watson
Esq.Associate in BMD's Columbus Office

Ashley is a healthcare attorney in BMD’s Columbus office. She works with nonprofit and for-profit health care providers, health care trade associations, individuals, and businesses. Ashley is experienced in healthcare public policy and regulatory compliance, legislative and government affairs, grant administration, and healthcare program operations.