Get Paid for Incident-to Telehealth Claims, New Relaxed Rules are Key


Clearly, stay-at-home orders make meeting standard incident-to billing requirements practically impossible – limiting your ability to provide care and get paid.

Accordingly, CMS has temporarily eased restrictions for incident-to billing. This makes it possible for your non-physician providers to conduct (and be paid for) telehealth visits while patients are complying with social distancing recommendations. Although requirements have been lessened, you must still have a strong handle on what is and isn’t allowed in order to successfully bill incident-to telehealth services.

Luckily, with a little help from Kathi Carney CPC, CPMA, CPC-I, CHC, you can get the answers you need during her online training. During this exclusive online training, Kathi will clearly explain how you can expand your patient services by allowing your non-physician practitioners to conduct telehealth appointments and be paid for them. You’ll also learn how to implement the new incident-to telehealth regulations to expand your patient services and your reimbursements.

Here are just a few of the incident-to telehealth expert strategies you’ll receive by attending this 60-minute online training:

  • Determine what constitutes as incident-to “appropriate supervision” during the COVID-19 pandemic
  • Identify how to routinely waive telehealth Medicare copays, without Kickback allegations
  • Pin down what services—and related CPT codes—are no longer subject to frequency limitations
  • Comply with supervision requirements when care settings drive direct supervision waivers
  • Uncover when Medicare patients can receive services without being under the care of a physician
  • Discover how to compliantly provide direct supervision via audio and video technology
  • Bill your incident-to services for hospital care and be eligible for reimbursement
  • Expose who and when telehealth services can be provided based on NCDs and LCDs new requirement
  • Submit a licensure waiver to allow non-physician practitioners to care for patients remotely
  • Get paid for incident-to services for providers not normally approved for telehealth care
  • And so much more…

WARNING: Telehealth has not become a free-for-all, and regulators are still paying attention. Although changes to incident-to billing make it easier for your practice to care for patients and get reimbursed for that care, it means you must master entirely new rules when billing for non-physician practitioner services.

By signing up for this expert-led online training, you’ll learn exactly how your non-physician practitioners can successfully provide and be reimbursed for telehealth patient care, and how to stay in line with regulatory requirements for telehealth and incident to billing.

Reminder: “Incident to” services are performed by a non-physician provider (like a physician
assistant or a nurse practitioner) but billed under the physician’s NPI. Previously, there were several
requirements you must meet to bill a service as incident to. Chief among these are that:

  • The physician must conduct the initial visit for the patient’s condition for which the incident-to service will be provided.
  • The physician must provide direct supervision for the incident to service. This means that the physician must be physically present in the same building/office, and able to give immediate assistance if needed.

Recently, these rules have changed to make it easier during the COVID-19 outbreak for non-physician practitioners to provide telehealth services and be paid for the care they offer.

This upcoming online training will help you master the new non-physician practitioner incident-to regulations so your practice can provide and be paid for more of the care your patients need.

Don’t wait, sign up for this expert-led online training today.


GREAT NEWS! To help overcome the challenges associated with staff working from home due to
COVID-19, your webinar registration (live or on-demand) now includes access to the online training for your entire team regardless of their location (previously, a $50 fee per additional location was required).

Meet Your Expert

Kathi Carney
CPC, CPMA, CPC-I, CHCDirector, Physician Business Solutions, LLC

Carney previously served in physician practice management roles as a full-time administrator, consultant, and revenue cycle manager. She possesses over 20 years of healthcare experience working with multiple medical specialties. She is a Certified Professional Coder and is a member of the local, state and national Medical Group Management Associations.

Carney has provided educational training on local, state and national levels. She recently was tapped to present at the AAPC National HealthCon convention sharing her expertise.