2.7.D.3 Attachment "Incident To" Services

  • PURPOSE:

    To ensure and to qualify as to “INCIDENT TO”, services must be part of the patient’s normal course of treatment during which a physician personally performed an initial service and remains actively involved in the course of treatment.

    POLICY:

    It is the policy of LHCC to follow the guidelines as set forth by CMS.

    PROCEDURE:

    The physician does not have to be physically present in the patient’s treatment room while these services are provided but you must provide direct supervision. That is, you must be present in the office suite to render assistance, if necessary. The patient record should document the essential requirements for incident to service.

    • AN INTEGRAL PART OF THE PATIENT’S TREATMENT COURSE
    • COMMONLY RENDERED WITHOUT CHARGE (INCLUDED IN YOUR PHYSICIAN'S BILLS)
    • OF A TYPE COMMONLY FURNISHED IN A PHYSICIAN’S OFFICE OR CLINIC (NOT IN AN INSTITUTIONAL SETTING
    • AN EXPENSE TO YOU

    Examples of qualifying “incident to” services include cardiac rehabilitation, providing non-self-administrable drugs and other biologicals and supplies usually furnished by the physician in the course of performing his/her services (e.g. gauze, ointments, bandages and oxygen).

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