This episode focuses on a compliance issue that keeps tripping up practices: incident to billing, split shared visits, and the limits of what medical students can document.

Sean M Weiss and Terry walk through where the rules apply, where they do not, and why using student documentation to support a billable service is not allowed.

Terry also shares a real world question from recent presentations that pushed the conversation into medical student use, supervisory rules, and the risk of stretching billing frameworks beyond their intent. The discussion closes with a cautionary look at fraud, waste, and abuse, plus the importance of proper credentialing and supervision.

Key topics

• Incident to vs. split shared visits
• What counts as a shared service
• Medical student documentation is not billable
• What a teaching physician may use
• Why cut and paste is not allowed
• Students are for education, not revenue
• Employment and supervision requirements still matter
• Telehealth supervision and ancillary services
• Fraud, waste, and abuse concerns