Incident to Questions and Answers

This webinar was held on 5/29/2024.

This encore presentation is on incident to guidelines. We provided an open forum for you to ask questions and for us to provide responses. You can find the March webinar we provided on this topic using this link https://youtu.be/7keUpQjlmws.

Resources:
Social Security Act Section 1861(s) https://www.ssa.gov/OP_Home/ssact/title18/1861.htm

42CFR410.26 Services and supplies incident to a physician’s professional services: Conditions
https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-410/subpart-B/section-410.26

Medicare Benefit Policy Manual
- Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services
https://www.cms.gov/regulations-and-guidance/guidance/manuals/internet-only-manuals-ioms-items/cms012673
- Chapter 15 Section 50.3 Section 60
https://www.cms.gov/regulations-and-guidance/guidance/manuals/downloads/bp102c15.pdf

Medicare Claims Processing Manual, Chapter 12 - Physicians/Nonphysician Practitioners, Section 30.6.4
https://www.cms.gov/regulations-and-guidance/guidance/manuals/downloads/clm104c12.pdf

CMS NCD Physician’s Office within an Institution: Coverage of Services and Supplies Incident to a Physician’s Service
https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=140

MLN SE0441 Incident to Services
https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnmattersarticles/downloads/se0441.pdf

MLN SE1609 Medicare Policy Clarified for Prolonged Drug and Biological Infusions Started Incident to a Physician's Service Using an External Pump
https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1609.pdf

CMS Incident to Services and Supplies
https://www.cms.gov/medicare/payment/fee-schedules/physician-fee-schedule/advanced-practice-providers/incident-services-supplies

LCD L36408 Allergy Immunotherapy
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36408&ver=31

LCA A57472 Billing and Coding: Allergy Immunotherapy
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57472&ver=14

Chapters
00:00 Intro
02:47 Incident to Defined
03:40 Incident to Requirements
07:45 Incident to Place of Service
10:26 Supervision
15:49 Resources
19:14 Questions and Answers
36:18 Closing Comments

Видео Incident to Questions and Answers канала WPS Government Services – Medicare