Stop Incident-to Violations, Penalties and Fines

Clear

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 heads the BMD Columbus office’s health care practice. One of her areas of practice is the nexus between traditional health care legal services and health care public policy. Daphne regularly advises health care clients, including providers and provider trade associations, regarding business and practice strategies impacted by federal and state health care reform initiatives, as well as service delivery and payment reform. She also advises clients regarding reimbursement, policy, and coverage matters. Additionally, Daphne has in-depth knowledge of Medicaid, behavioral health, and child welfare policy.

Prior to joining Brennan, Manna & Diamond, Daphne served as Senior Advisor for a health care consulting company; held policy positions in the Ohio Department of Medicaid, including leading Ohio Medicaid’s interaction with the Centers for Medicare & Medicaid Services and overseeing various components of Ohio Medicaid policy. She also served as director of state and local government relations for Nationwide Children’s Hospital in Columbus, OH. Daphne graduated cum laude from Capital University Law School and Indiana University, and is licensed to practice law in Ohio.

Ashley Watson
Esq.Associate in BMD's Columbus Office

Ashley is an associate in BMD’s Columbus office whose practice focuses primarily on Healthcare and Hospital law. Ashley graduated from The Ohio State University Moritz College of Law in 2017 and also has her Master’s in Art History and Museum Studies from Case Western Reserve University.