Chief Compliance and Ethics Officer Health Care

Incident To and medication dosage changes

  • 1.  Incident To and medication dosage changes

    Posted 06-20-2019 01:43 PM
    Good afternoon,

    Wondering how you interpret Medicare and MAC rules regarding billing of incident to when a NPP changes medication dosages. Do you consider that a change to the original plan of care and therefore if dosage is changed by an NPP, the visit must be billed under the NPPs #? I know that Palmetto is specific about this, but wanted to know if anyone considered it incidental to the plan of care if a dosage is changed.

    Thank you so much!

    Jennifer Sartor
    Director of Quality Assurance and Compliance
    National Spine and Pain Centers
    2020 HCCA Compliance Institute