Catalog Number : cca1897
Title : Understanding Incident-To Compliance
Speaker : Duane Abbey

Webplay Recording Date : 5-11-2017
Webplay Price : $ 150 for two weeks viewing

Webinar Description:

What does incident-to really mean? How does incident-to relate to hospitals and physicians? What are the rules and regulations surrounding incident-to process for billing? To answer these questions and more, join us in this educational webinar.

Webinar Objectives:

• review and discuss the two different uses of the phrase, incident-to, as provided in the Social Security Act (SSA)
• discuss the incident-to billing for physicians
• appreciate hospital payment relative to incident-to physician services
• discuss hospital benefit categories under the SSA
• understand how incident-to is a compliance issue in multiple situations
• discuss how the incident-to concept applies to recently changed physician supervision requirements
• discuss incident-to physician services in the provider-based clinic setting
• review how incident-to is involved in special situations such as the 3-Day Payment Window, RHCs and telemedicine
• work through several case studies to illustrate the intricacies surrounding the incident-to concept

A few of the topics that will be covered:

• Introduction
  • Overview of the Incident-To Concept
  • Areas of Applicability of Incident-To Services
  • Compliance Concerns Surrounding the Incident-To Concept
• Incident-To and The Social Security Act
  • Physician Payment Through Incident-To Services
  • Hospital Payment Through Incident-To Services
  • Self-Administrable Drugs
  • Understanding the Two Different Uses of the Phrase Incident-To
  • Hospital Services Benefit Categories
• Incident-To Billing for Physicians
  • Physician Billing For Subordinate Staff Services
  • Presumptive Freestanding Clinic
  • Specific Requirements for Physicians
  • Physician Supervision Requirements
  • Special Concerns for Non-Physician Practitioners
• Incident-To Services for Hospitals
  • Hospital Payment For All Services Incident-To Physicians
  • Presumptive Provider-Based Setting
  • Physician Supervision Rules
  • Specific Impacts for Hospitals
• Associated Impacts of the Incident-To Concept
  • Provider-Based Rule
  • 3-Day Payment Window
  • RHCs
  • Telemedicine
• Case Studies

Target Audience:

All personnel involved with compliance, coding, billing and reimbursement, financial analysts, health information management personnel, financial personnel, patient financial services personnel, chargemaster coordinators, provider-based clinic and/or clinical operations personnel, physicians and practitioners, and other interested personnel.

Contact Hours:

• All participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program.

Completion of offering required prior to awarding certificate.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.