Are You in Compliance? Understanding Incident To Billing

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About Course

An incident with billing is one of the most common mistakes a group practice can make. Physicians are able to bill certain services as “incident to” the physician’s services, resulting in reimbursement at 100% of the Medicare physician fee schedule for non-physician provider services. This presentation will go through the ins and outs of compliance, incident to billing, and documentation requirements. This presentation will also review common misunderstandings and billing mistakes using real-world examples.

Learning Objective

  • Gain knowledge of the incident to billing rules
  • Identify common mistakes and misinformation
  • Explore strategies to mitigate non-compliance
  • Learn about recent compliance enforcement

Areas Covered in the Session

  • Incident to billing rules
  • Real-world examples
  • Common mistakes
  • Recent settlements
  • Recent enforcements

Suggested Attendees

  • Licensed Providers
  • Physicians
  • Office Managers
  • Billing Staff
  • Medical Auditors
  • Practice Managers
  • Auditors
  • Billing Companies
  • Clinic Owners
  • Compliance Officers
  • Chief Quality Officers
  • Presidents/CEOs
  • Senior Internal Auditors
  • Directors of Compliance
  • Regulatory/risk Officers
  • Government Employees
  • General Counsel
  • Compliance Attorneys

About the Presenter

Amanda Waesch has experiences of 18 years and operates a national healthcare practice and is licensed in both Ohio and Florida. She primarily focuses her practice on healthcare, employment law, corporate law, and healthcare litigation and advises all types of employers, in particular healthcare providers, including, hospitals and physicians, on various matters. She also chairs the firm’s litigation team that is primarily responsible for handling all reimbursement audits and appeals for her firm’s healthcare clients and heads up BMD’s Provider Relations, Audit, Appeals and Negotiations Unit (PRAAN) which handles all-payer audits, appeals, overpayments and payment extrapolations.

Course Content

You can access all the webinar materials after successful payment

  • Webinar Link + Handouts PDF
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