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Health Law Archives

Important Changes Made to "Incident to" Billing in CMS 2016 Revisions to Physician Fee Schedule

Medicare pays practitioners for "incident to" services at the applicable Medicare payment rate as if the practitioner personally furnished the service. For example, if billed by a physician, they are paid at 100 percent of the fee schedule amount, and if billed by a nurse practitioner or clinical nurse specialist, they are paid at 85 percent of the fee schedule amount. Payments are subject to the usual deductible and coinsurance amounts.

In topsy-turvy health care environment, compliance can be tricky

Business transactions in the health care field are moving at a record pace in 2015. Analysts say the driving forces behind the robust merger and acquisition activity are many. Low interest rates get some of the credit. But the desire for scale is important, too.

Changing health care landscape demands proven legal counsel

Medicine is a business. It hasn't always been viewed that way. In fact, a lot of doctors who came up through the ranks back before World War II would likely confirm that when it came to learning their trade, the business side of things was never even touched on. The focus then was on making sure doctors were as good as they could be in delivering care within the context of the science of the day.

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