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On-Demand Webinar

Incident-to Billing: Maximize Payup, Avoid Fraud Claims and Penalties


On-Demand Webinar

Incident-to Billing: Maximize Payup, Avoid Fraud Claims and Penalties


  • Getting paid at 100% of the physician fee schedule for your Physician Assistant (PA) and Nurse Practitioner (NP) claims is tricky.

    Not only must you code the claims correctly, you must also comply with rules for incident-to, supervision, location exceptions, new vs. established patients, scope of practice, split-shared guidelines, etc.

    If you get it right the payoff can be substantial since you'll be receiving 100% vs. 85% reimbursement for their services. However, if you get it wrong, you can end up having to pay massive fines and penalties for lack of compliance.

    Although complying with billing regulations for incident-to services can be a hassle, their financial benefits can be significant, if you know what you're doing…

    That’s where healthcare attorneys, Daphne L. Kackloudis, Esq. and Ashley B. Watson, Esq., can help. During their online training session, they’ll provide you with an easy-to-follow incident-to guide that will help you ensure your NPP claims are correct, and that you’re accurately and optimally reimbursed for their services.

  • By viewing this 60-minute attorney-led online training, you’ll receive step-by-step, plain-English tactics to help you more easily comply with incident-to regulations. Here are just a few:

        • Cut through the confusion of physician supervision rules
        • Clearly determine what benefit categories you are not allowed to bill as incident-to
        • Increase your billing opportunities by uncovering location exceptions that qualify
        • Pin down the division between new and established patient guidelines
        • Determine what employment statuses are approved for incident-to billing
        • Reveal when state incident-to supervision laws kick in
        • Identify how Medicaid incident-to rules differ from Medicare
        • Utilize exclusion screening to head off massive violation penalties
        • And so much more…

    Who should view? All practices, clinics and facilities that bill outpatient services for NPPs. Even if you think you know what incident-to billing entails, the statute governing these services are quite nuanced and easy to violate. Accordingly, this training will be helpful to both those new and experienced in billing incident-to services.

    After viewing this online training, you’ll be able to pinpoint the most common incident-to billing compliance pitfalls and traps. Doing so will help you avoid regulation violations and the hefty fines and criminal charges that can result from noncompliance.

    Accurately billing your eligible NPP services as incident-to can have a significant impact on your bottom line (considering you’ll be paid 15% more for the services). Get paid the extra revenue you deserve without risking ending up in financial and legal hot water. Don’t wait, sign up today.


    Meet Your Experts:

    Daphne L. Kackloudis, Esq.

    Daphne L. Kackloudis, Esq.Daphne is a Partner with Brennan, Manna & Diamond, LLC and heads the BMD Columbus office's health care practice. She specializes in health care service delivery and payment systems, as well as advising clients regarding Medicaid reimbursement policy and coverage matters.   

    Prior to joining BMD, Daphne served as Senior Advisor for a health care consulting company; held policy positions in the Ohio Department of Job and Family Services, including leading Ohio Medicaid's interaction with the Centers for Medicare & Medicaid Services and overseeing various components of Ohio Medicaid policy; and served as director of state and local government relations for Nationwide Children's Hospital in Columbus, OH. 

    Ashley B. Watson, Esq.

    Ashley B. Watson, Esq.Ashley is an associate in BMD's Columbus office whose practice focuses primarily on Healthcare and Hospital law. 

    Ashley graduated from The Ohio State University Moritz College of Law in 2017 and also has her Master’s in Art History and Museum Studies from Case Western Reserve University.