QOW: Medicare Reimbursement & Incident-to

There is a good amount of confusion among nurse practitioners and others regarding Medicare reimbursement and Incident-to billing.

In this question of the week, I address:

  • What incident to is
  • The rules for appropriate billing of incident to
  • Why you don’t want to use it
  • How it affects your reporting status for MIPS (MACRA)
  • The difference between allowable reimbursement, discounts for NPs and co-insurance.

Be sure and leave your questions and comments below.


Question of the Week?

In case you are wondering, we’ve done a weekly question of the week for a long time now for our email list. Unfortunately, those questions and answers have not been archived anywhere for the NP community to review. Our goal is to change that and make the information we’ve been sharing available to all.

If you have a question you’d like to ask, you can submit them on this form.

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