The Hotel was centrally located, in fact it was an easy walk from the hotel to the Parkway. There could not have been an easier place to get to or to stay in Pigeon Forge. The Hotel Staff were truly wonderful from the moment you check in to the moment you check out. They have the customer service thing on...
But when billed as incident-to, Medicare pays at 100% of the physicianâs fee schedule because the visit falls under the physicianâs NPI. The Medicare criteria for incident-to billing are not well understood by most physicians, so we will try to clear up any confusion.
1 The charge for the service is the amount of the limiting charge violation. 2  The submission of a non-assigned physician fee schedule service with a charge in excess of the Medicare limiting charge amount constitutes a violation of the limiting charge. A provider who violates the limiting charge is subject to assessments of up to $10,000 per violation plus triple the amount of the charges in violation, and possible exclusion from the Medicare program.