Decoding the myths. Physician supervision in Medicare.
Billing Medicare for services involving ancillary personnel has grown increasingly complex as more types of professionals provide services in the context of physician practices. In addition, Medicare recognizes some clinicians as eligible to submit claims on their own provider numbers within a group practice but recognizes others only for billing "incident to" a supervising physician. Practice managers and physicians are understandably confused about these provisions. The liabilities for improper handling of supervision include false claims, Stark violations and reassignment problems.
Gosfield
Alice G
AG
Alice G. Gosfield and Associates PC, Philadelphia. agosfield@gosfield.com
D000488:Allied Health Personnel / Q000191:economics*; D030881:Disclosure; D006123:Group Practice / Q000191:economics* / Q000331:legislation & jurisprudence; D006801:Humans; D007344:Insurance Claim Reporting; D016365:Liability, Legal; D006278:Medicare / Q000458:organization & administration*; D018584:Physician Self-Referral / Q000331:legislation & jurisprudence; D014481:United States