Because billing incident to requires direct, on-site supervision, contact with the physician in this scenario cannot be done via telemedicine or phone consultation. Incident-to services are provided in the physicians office and billed as if the physician provided the care and using the physicians NPI. Coverage and Claims You must log in or register to reply here. If you are in a group, any physician member of the group may be present in the office to supervise. This visit is not billable as the LPC is not recognized by Medicare and does not have an NPI. WebPage Footer I want to Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna Audiences Individuals and Families Medicare Employers Brokers Providers This model is used in billing for health care services provided to patients with chronic or ongoing conditions, such as wounds. For additional Cigna will credential, if the provider directly contracts with Cigna. The most powerful advocate in advancing the cause of physicians and patients is YOU. Medical/Behavioral Education and Training. WebMedicare allows for the billing of incident to services performed by ancillary personnel under the supervision of a qualified Medicare provider. Webpractitioners may bill CPT 99490 for CCM services furnished to beneficiaries in skilled nursing facilities, nursing facilities or assisted living facilities. Learn how we develop our content. If this is your first visit, be sure to check out the. <>/Metadata 469 0 R/ViewerPreferences 470 0 R>> At Cigna, our goal is to process all claims at initial submission. According to the Centers for Medicare & Medicaid Services (CMS) Medicare Benefit Policy Manual, Chapter 15, Section 60.1: For hospital patients and for [skilled nursing facility, or SNF] patients who are in a Medicare covered stay, there is no Medicare Part B coverage of the services of physician-employed auxiliary personnel as services incident to physicians services under 1861(s)(2)(A) of the Act.