The first question you must address is:

The first question you must address is: Should the organization use “incident to” billing? Why or why not? In other words, you first need to explain what Medicare requires for an organization to legitimately bill incident to. Next you need to explain whether incident to billing makes financial sense for your organization in light of Medicare criteria. Be sure to read the Buppert and Nagelkerk assignments carefully before you compose an answer. Finally, also based on those reading assignments, briefly share some thoughts about billing Medicaid and commercial insurance companies for APRN services. The next topic concerns how your organization can avoid Medicare fraud and abuse when using APNs; specifically regarding the Stark Acts: What do you and the APNs in your organization have to know about this?

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