Optum360 coding books logo
Optum360Coding.com
    Contact Us   (7 a.m.–7 p.m. CST)
  Home > Coding Central Articles > Coding Central Articles  
Coding Central
Coding Central Home
Inside Track to ICD-10
Coding Central Articles
Code This!
Case Studies
Chargemaster Corner

Articles for:
March 27, 2018


Spring OPPS Update Released

The Centers for Medicare and Medicaid Services (CMS) summarized the spring update to the outpatie... Learn More


Therapy Caps Repealed and Payment for Therapy Assistant Services Lowered

Medicare payment caps on outpatient therapy were permanently repealed effective January 1, 2018. ... Learn More


OIG Update Work Plan, Studies Cardiac Device Credits

In March, the Office of Inspector General (OIG) posted several updates to its existing Work Plan,... Learn More


View Article Archive

Subscribe:
To subscribe, paste this link into your preferred feedreader, or click on one of the buttons below:
 

Medical Coding News Archives

Incident-to Policy Is Beefed Up

 
May 13, 2008:
New guidelines released by the Centers for Medicare and Medicaid Services (CMS) address the increase in the number of services reported as “incident to.”

The new guidelines specifically address such areas as:
  • Incident-to requirements for coverage of drugs and biologicals that are not usually self-administered
  • Services and supplies furnished incident to a physician’s/nonphysician practitioner’s (NPP’s) professional service
  • Incident-to physician’s/NPP’s professional services in office- or physician-/NPP-owned and operated clinics
  • Services of nonphysician personnel furnished incident to a physician’s services
  • Incident-to physician’s/NPP’s services in physician/NPP owned and operated clinics
The new guidelines more clearly define direct supervision as a necessary component of incident-to billing. The new guidelines state that “direct supervision in the office or physician/NPP owned and operated clinic setting has the same meaning as it does for diagnostic tests (see 42 CFR 410.32(3)” and goes on to say that “direct supervision means the physician/NPP must be present in the office suite and immediately available and able to provide assistance and direction throughout the time the service is performed. Direct supervision does not mean that the physician/NPP must be present in the same room with the employee providing the service, if the supervisor is in the office suite. In cases where the definition of ‘office suite’ is questionable, contact the Medicare contractor concerning acceptable locations for the supervisor.”

Deborah C. Hall
Clinical/Technical Editor

 

 
Sign in to
Your Account
USERNAME
Forgot your username?
PASSWORD
Forgot your password?
Don't have an account?
It's easy to create one.

Promo code

Have a promotional source code? Enter it here:


What is this?