"Incident to" Billing in Healthcare: Navigating Complex Requirements and Ensuring Compliance
Recording of a 90-minute CLE webinar with Q&A
This CLE course 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.
Outline
- Requirements of billing services as “incident to”
- Pros and cons of incident to billing
- Advantages
- Common pitfalls
- Associated confusion
- Potential ramifications
- 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
Ms. Polacheck advises on a variety of healthcare compliance issues, including fraud and abuse and related matters.... | Read More
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.
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Monica A. Wallace
Partner, Healthcare Regulatory & Compliance Practice Area Leader
McDermott Will & Emery
Ms. Wallace focuses her practice on complex regulatory and transactional counseling to healthcare organizations,... | Read More
Ms. Wallace focuses her practice on complex regulatory and transactional counseling to healthcare organizations, including health systems, hospitals, ambulatory surgery centers, physician groups, dental providers, behavioral health clients, integrated delivery systems, academic medical centers, DMEPOS and pharmaceutical manufacturers and suppliers, home health agencies, and venture capital and private equity firms and their health-related portfolio companies. She concentrates her regulatory practice on healthcare fraud and abuse, Medicare and Medicaid enrollment, reimbursement and billing, legal assessments and audits, compliance programs, and other general regulatory matters including licensure, survey/certification and accreditation. Ms. Wallace’s transactional practice includes mergers, acquisitions and affiliations, divestitures, hospital/physician joint ventures and corporate reorganization.
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