Posts Tagged ‘Incident-to billing’
Failure to Adhere to Incident-to Rules Can be Costly
The U.S. Department of Justice recently announced that two physicians and their family medicine practices located in Tennessee will pay $341,690 to resolve allegations that they violated the False Claims Act by knowingly charging Medicare for services rendered by nurse practitioners at the higher reimbursement rate for physician services. The providers are alleged to have…
Read MoreMedPAC: Eliminate “Incident to” Billing for ARNPs and NPs
If Congress adopts the Medicare Payment Advisory Commission’s (MedPAC), most recent recommendations, “incident to†billing could become a thing of the past for Advanced Registered Nurse Practitioners (ARNPs) and Physician Assistants (PAs). The recommendation to eliminate “incident to†billing for these providers was made in MedPAC’s biennial report issued in June. MedPAC is an independent…
Read MoreIncident-to Billing Investigation Ends in $118,000 Fine
A physician in Texarkana, Texas recently agreed to pay $118,000 to settle allegations he engaged in improper billing practices for his Medicare patients at three of his clinics. According to the allegations, Dr. Donald S. Douglas’ advanced practice nurses (APNs) were hired to assist him with seeing patients in his clinics. By law, if the…
Read More