Summary: There are many ways in which mid-level provider visits can violate the incident-to rules. Without an audit, your Medicare carrier won’t know that the rules have been violated since a claim for an incident-to service looks exactly like a claim from the supervising provider. However, audits are triggered when CMS sees a significant number of services for a single physician because both the provider and the APP are billing under the physician’s National Provider Identifier (NPI).<br> CMS is frustrated with the continued non-compliance in this area. Listen in this week, as Terry clarifies the rules, regulations, and how to be audit-proof when reporting Advanced Practice Providers services under the incident to billing rule.<br> Subscribe and Listen<br> You can subscribe to our podcasts via:<br> <br> * iTunes – <a href="https://itunes.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627" target="_blank" rel="noopener noreferrer">https://itunes.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627</a><br> * Google Play Music – <a href="https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga" target="_blank" rel="noopener noreferrer">https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga</a><br> * Spotify – <a href="https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX" target="_blank" rel="noopener noreferrer">https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX</a><br> * Stitcher – <a href="http://www.stitcher.com/s?fid=156874" target="_blank" rel="noopener noreferrer">http://www.stitcher.com/s?fid=156874</a><br> * TuneIn – <a href="https://tunein.com/radio/CodeCast--Medical-Billing-p1056702/" target="_blank" rel="noopener noreferrer">https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/</a><br> * YouTube – <a href="https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg" target="_blank" rel="noopener noreferrer">https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg</a><br> <br> If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: <a href="https://www.terryfletcher.net/contact/">https://www.terryfletcher.net/contact/</a><br>
