In Episode 16 of Reimbursement Readiness: Business Tips for Wound Practice, Kathleen Schaum addresses one of the most frequently misunderstood topics in Medicare reimbursement: Incident-to billing. Drawing from common questions submitted by Wound Care Today USA subscribers—and recurring errors seen in real-world consulting—this episode is designed to clarify what Incident-to billing truly is, when it applies, and when it does not.

Kathleen is joined by reimbursement expert Amiee Coriano, who provides a clear, practical breakdown of the CMS rules governing Incident-to services. Together, they walk listeners through who may provide Incident-to services, the strict supervision and documentation requirements, eligible places of service, and the critical distinction between new versus established patients. The episode also explains how Incident-to billing impacts Medicare payment rates, including when practices may bill at 100% of the Physician Fee Schedule versus 85%.

This episode is essential listening for wound care practices that rely on physicians, nurse practitioners, and physician associates working together in office-based settings. Whether your goal is compliance, revenue optimization, or audit readiness, this conversation helps ensure your team applies Incident-to billing correctly—and avoids costly missteps.