Navigating Medicare’s Incident-to Rules

This webinar was recorded on July 16, 2025.

If you’re responsible for billing or managing non-physician practitioners (NPPs), you’ve probably run into questions like: Can we bill this under the physician’s NPI? Are we following Medicare rules? Are we missing out on revenue? These are exactly the kinds of challenges incident-to billing was designed to address — but only if it’s done right.

Many practices either avoid incident-to billing because it’s complicated, or they use it incorrectly, risking audits or potentially forgoing revenue they’re eligible for. This webinar will help you cut through the confusion and give you a straightforward look at how to use incident-to billing correctly.

Join us as we walk you through real-world scenarios and explain policies and documentation requirements from the Centers for Medicare & Medicaid Services (CMS) and Medicare Administrative Contractors (MACs).

You will learn:

• What qualifies as incident-to billing and when it makes sense to use it
• Medicare’s core requirements (and how to meet them)
• How state laws and payer policies can impact billing decisions
• When and how to use incident-to billing for established patients
• Practical tips to reduce errors and capture eligible revenue