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The charges were billed under the supervising physician. The patient contacts Medicare to make a possible complaint alleging fraud stating, “I did not see this “Incident to” Office Guidelines · Services must be medically reasonable and necessary and within the scope of Medicare coverage and the billing provider's scopeSection 2050.1, Incident to Physician's Professional Services, revises the incident to supervision and employment requirements so that both the supervising 60.4 - Services Incident to a Physician's Service to Homebound Patients Under. General Physician Supervision. Medicare Claims Processing Manual. “Incident to” refers to a Medicare billing mechanism, allowing services furnished in an outpatient setting to be provided by auxiliary personnel and billed