Effective May 1, 2017, Independent Health (IHA) recognized “incident to” billing practices for their Commercial, Medicare Advantage and Self-Funded plans. IHA’s state products (MediSource, MediSource Connect, Child Health Plus and Essential Plan) will not be eligible for “incident to” billing.
Please ensure your staff carefully reads IHA’s requirements for “incident to”, which can be found in their Participating Practitioner Reimbursement Manual. The guidelines for “incident to” begin on Page 10.
Any questions pertaining to these requirements should be directed to the following email address: Reimbursement.Manual@independenthealth.com
After the implementation of this new policy, IHA will conduct audits to ensure their requirements are being met by the provider community.