Master the Intricacies Surrounding the ‘Incident-to’ Concept

The phrase 'incident-to' is used in two very different ways (by physicians, and by hospitals) in the Social Security Act (SSA). And that causes confusion about how incident-to must be interpreted. Proper compliance with all the rules and regulations that relate to both types of incident-to uses is a major challenge for physicians and hospitals alike. Plus, the recently changed physician supervision requirements add to the complexity.

Learn how to comply with both types of incident-to uses in this power-packed session by healthcare compliance expert Duane C. Abbey. He will compare and contrast the two different interpretations (i.e., by physicians and practitioners, and by hospitals), and show you how to remain compliant in both cases. Abbey will explain the interplay between these two concepts, and also include special situations—such as for CAHs (Critical Access Hospitals) and RHCs (Rural Health Clinics).

After attending this session, you will be confident in your ability to identify and comply with the incident-to scenarios applicable to your practice or hospital. You will know the compliance concerns surrounding the incident-to concept, and a lot more as shown in the session highlights below.

Session Highlights

This session will bring you up to speed with:

• The two different uses of the phrase‘incident-to’ as provided in the Social Security Act (SSA)
• Incident-to billing for physicians
• Hospital payment relative to incident-to physician services
• Physician supervision for both physicians and hospitals
• Hospital benefit categories under the SSA
• How incident-to is a compliance issue in multiple situations
• How the incident-to concept applies to recently changed physician supervision requirements
• Incident-to physician services in the provider-based clinic setting
• How incident-to is involved in special situations such as the 3-Day Payment Window, RHCs and telemedicine
• How the rules for supervision have morphed over time
• Non-enforcement of the supervision rule for CAHs and small rural hospitals
• Case studies illustrating the intricacies surrounding the incident-to concept

Who Should Attend

• Compliance personnel
• Coding, billing, and reimbursement personnel
• Health information management personnel
• Patient financial services personnel
• Chargemaster coordinators
• Provider-based clinics
• Clinical operations staff