Under incident-to billing for Medicare, what percentage of physician rate is the reimbursement?

Incident-to billing allows healthcare providers to bill for services rendered by non-physicians, such as nurse practitioners or physician assistants, under the physician's National Provider Identifier (NPI). This process is designed to offer greater flexibility and efficiency in delivering care while ensuring that a supervising physician remains responsible for the treatment plan and oversight of the service provided.

When services are billed incident-to, they are reimbursed at the full physician fee schedule rate, which is why the correct answer reflects a 100% reimbursement rate. This means that the reimbursement for incident-to services is equivalent to what a physician would receive for the same service when billed directly, promoting comprehensive patient care while upholding the involvement of licensed physicians in the process.

Understanding the implications of incident-to billing is essential for financial planning in healthcare practices, particularly as it influences both the revenue stream and the types of services a healthcare facility might offer.