"Incident to" Billing in Healthcare: Navigating Complex Requirements and Ensuring Compliance

Recording of a 90-minute CLE webinar with Q&A


Conducted on Wednesday, July 19, 2017
Recorded event now available


This CLE webinar will provide guidance on complying with “incident to” billing requirements. The panel will discuss the requirements and advantages related to incident to billing and the potential ramifications of violations. The panel will also offer best practices for ensuring compliance and addressing allegations of improper billing.

Description

There are many rules that need to be followed in order to bill Medicare. One of the more complicated rules governs services that are provided “incident to” a physician’s care. Despite the complex requirements, there are advantages to billing incident to. Namely, non-physician practitioners are able to provide healthcare services and bill at the supervising physician rate.

However, billing incorrectly may result in fines and penalties on top of underlying overpayments. For example, a South Carolina urgent care provider agreed to pay $1 million to resolve claims that included alleged violations of incident to billing rules. Healthcare providers and suppliers must understand the complexities of these rules to help ensure compliance.

Listen as our authoritative panel of healthcare attorneys discusses the incident to billing requirements. The panel will also examine its advantages, as well as the relevant pitfalls and confusion, and the consequences of violations. The panel will offer guidance for compliance and defending against allegations of improper billing.

Outline

  1. Requirements of billing services as “incident to”
  2. Pros and cons of incident to billing
    1. Advantages
    2. Common pitfalls
    3. Associated confusion
    4. Potential ramifications
  3. Guidance for compliance and defending against allegations of improper billing

Benefits

The panel will review these and other key issues:

  • What are the requirements for incident to billing?
  • What are the best approaches for healthcare providers to ensure compliance when incident to billing?

Faculty

Joan Polacheck, Partner
McDermott Will & Emery, Chicago

Ms. Polacheck advises on a variety of healthcare compliance issues, including fraud and abuse and related matters. She assists healthcare providers and drug and device companies to perform “legal audits” and to establish and implement compliance programs and related policies. She also has extensive experience in managed care contracting on behalf of healthcare providers.

Monica Wallace, Partner
McDermott Will & Emery, Chicago

Ms. Wallace focuses her practice on complex regulatory and transactional counseling to health care organizations. Her regulatory practice focuses on the Anti-Kickback and Stark laws; Medicare and Medicaid reimbursement and billing; legal assessments and compliance programs; and other general regulatory matters including licensure, survey/certification, and accreditation. Her transactional practice includes mergers, acquisitions and affiliations; divestitures; hospital/physician joint ventures; and corporate reorganization.  


Recordings

CLE On-Demand - Streaming Video

Includes recorded streaming video of full program plus PDF handouts.

On-demand is the only recorded format recognized for CLE credits in DE, IN, KS, LA, MS, NC, OH, OK, SC, TN, VA, WI.

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*Only available for attorneys admitted for more than two years. For OH CLE credits, only programs recorded within the current calendar year are eligible - contact the CLE department for verification.

**NH attendees must self-determine if a program is eligible for credit and self-report their attendance.

CLE On-Demand Video $297.00

How does this work?


Recorded Event

Includes full event recording plus handouts.

Strafford is an approved provider and self-study CLE credit is available in most states.

AK, AZ, CA, CO, CT, FL, GA, HI, IA, ID, IL, KY, ME, MN, MO, MT, ND, NJ, NM, NY, OR, PA, TN, TX, UT, VT, WA, WV, WY (Note: Some states restrict CLE eligibility based on the age of a program. Refer to our state CLE Map for additional information.)

Strafford will process CLE credit for one person on each recording.

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Recorded Webinar Download $297.00

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Recorded Audio Download (MP3) $297.00

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Webinar

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Program Materials

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Program Materials

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CLE Credits

Many states grant CLE credits for on-demand streaming audio programs and recorded events. Our programs are pre-approved in many states. Refer to our state CLE map for state-specific information.

or call 1-800-926-7926

Customer Reviews

I enjoyed the programs content and the speaker's perspectives.

Brenda Laigaie

Wade Goldstein Landau & Abruzzo

The content covered was relevant and timely.

Francis LaMorte, MD

Alvarez and Marsal

Very current topic and I appreciated the real life examples.

Lisa Thompson

Adelman Sheff & Smith

The speakers included a significant number of best practices, which are critical to application of the law.

Deirdre J. Kamber

Fitzpatrick Lentz & Bubba

Very valuable information.

Mara McDermott

Akin Gump

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Health Law Advisory Board

Lowell C. Brown

Partner

Arent Fox

Jennifer L. Evans

Shareholder

Polsinelli

Ryan S. Johnson

Shareholder

Fredrikson & Byron

Gina M. Kastel

Partner

Faegre Baker Daniels

Karen S. Lovitch

Member

Mintz, Levin, Cohn, Ferris, Glovsky and Popeo

David A. Manko

Partner

Proskauer Rose

John J. Miles

Senior Counsel

Baker Donelson

C. Elizabeth O'Keeffe

Counsel

Wyatt, Tarrant & Combs

J. Peter Rich

Partner

McDermott Will & Emery

Donald H. Romano

Of Counsel

Foley & Lardner

Judith A. Waltz

Partner

Foley & Lardner

John R. Washlick

Shareholder

Buchanan Ingersoll & Rooney

Jesse A. Witten

Partner

Drinker Biddle & Reath

or call 1-800-926-7926

Our Guarantee

Strafford webinars are backed by our 100% Unconditional Money-Back Guarantee: if you are not satisfied with any of our products, simply let us know and get a full refund. For more information regarding complaints and refunds, please contact us at 1-800-926-7926 ext 10. Complaints regarding this program can be submitted via the course evaluation found in the “Thank you” e-mail at the end of the course.