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Purchase Access: See My Options close. There are no Medicare require ments regarding the qualifications of individuals who may provide incident-to services, but some state laws may require licensure or certification. When billing incident-to, a practice can be reimbursed at percent of the physician fee schedule for non-physician provider services. For example, if a dermatologist happened to be the physician in the clinic on the day when a pulmonary function test was being performed, his billing for the test would be fairly unusual. Best Value! When it comes to submitting the incident-to claim, many physicians are unsure whose physician number to indicate on the HCFA claim form.

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This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Even if all the aforementioned requirements are met, a practice can still run into problems when it comes to actually billing Medicare for the incident-to service. More in Pubmed Citation Related Articles.

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Fam Pract Manag. A more recent article on this topic is available. Nonphysician providers of many stripes now work in family practices. This includes a variety of midlevel providers, nurses and medical assistants, among others. As the use of nonphysician providers in family practices has evolved, it has become increasingly important to understand the incident-to rules.

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