Incident-To Billing and Physician Supervision: Are You in Compliance?

Format: On-Demand Webinar
Presenter: Amanda L. Waesch, ESQ
Duration: 60 minutes

An incident to billing is one of the most common mistakes a group practice can make. Physicians are able to bill certain services as “incident to” the physician’s services, resulting in reimbursement at 100% of the Medicare physician fee schedule for nonphysician provider services. This presentation will go through the ins and outs of compliance, incident to billing, and documentation requirements. This presentation will also review common misunderstandings and billing mistakes using real-world examples.

 
For physicians and practitioners this phase is used for incident-to billing that relates to a physician coding and billing for subordinate staff services. For hospitals, the phase is incident-to services that describe the major benefit category for hospitals under the Medicare program.  Hospitals are paid for services that are incident-to services provided by physicians.  Confusion is created through the very different ways in which incident-to must be interpreted.

Proper compliance with all the rules/regulations that relate to both incident-to billing and incident-to services is a major challenge.  In this workshop we compare and contrast the two different interpretations, how to remain compliant in both cases and the interplay between these two concepts.  Special situations such as for CAHs and RHCs will also be included.

Learning Objectives:

• To gain knowledge of the incident to billing rules
• To understand how incident-to is a compliance issue in multiple situations.
• To show how the incident-to concept applies to recently changed physician supervision requirements.
• To discuss incident-to physician services in the provider-based clinic setting.
• To review how incident-to is involved in special situations such as the 3-Day Payment Window, RHCs and telemedicine.
• To appreciate how the rules for supervision have morphed over time.
• To understand the nonenforcement of the supervision rule for CAHs and small rural hospitals.
• To work through several case studies to illustrate the intricacies surrounding the incident-to concept.
• Identify common mistakes and misinformation
• Explore strategies to mitigate non-compliance
• Learn about recent compliance enforcement

Areas Covered in the Session:

• Incident-To Billing
• Physician Billing For Subordinate Staff Services
• Presumptive Freestanding Clinic
• Specific Requirements for Physicians
• Physician Supervision Requirements
• Special Concerns for Non-Physician Practitioners
• Incident-To Services for Hospitals
• Hospital Payment For All Services Incident-To Physicians
• Presumptive Provider-Based Setting
• Physician Supervision Rules
• Specific Impacts for Hospitals
• Real-world examples
• Common mistakes
• Recent settlements
• Recent enforcements
• Live Q&A Session

Suggested Attendees:

• Licensed Providers
• Physicians
• Office Managers
• Billing Staff
• Medical Auditors
• Practice Managers
• Auditors
• Billing Companies
• Clinic Owners
• Compliance Officers
• Chief Quality Officers
• Presidents/CEOs
• Senior Internal Auditors
• Directors of Compliance
• Regulatory/risk Officers
• Government Employees
• General Counsel
• Compliance Attorneys

Other Related Webinars:

• Proactive Strategies to Prepare for an Audit and Mitigate Expensive Overpayments
• HHS Provider Relief Funds: Latest Updates and Information Regarding the Reporting Requirements

About the Presenter:

Amanda Waesch has experience of 18 years and operates a national healthcare practice and is licensed in both Ohio and Florida. She primarily focuses her practice on healthcare, employment law, corporate law, and healthcare litigation and advises all types of employers, in particular healthcare providers, including, hospitals and physicians, on various matters.

She also chairs the firm’s litigation team that is primarily responsible for handling all reimbursement audits and appeals for her firm’s healthcare clients and heads up BMD’s Provider Relations, Audit, Appeals, and Negotiations Unit (PRAAN) which handles all-payer audits, appeals, overpayments and payment extrapolations.

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement Operating System: Windows any version preferably above Windows Vista & Mac any version above OS X 10.6

Internet Speed: Preferably above 1 MBPS

Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live? No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience.

For more information you can reach out to the below contact: Toll-Free No: 1-302-444-0162 Email: support@skillacquireupdate.com