To Bill or Not to Bill: Physicians Working with NPPs

Event Information
Product Format
Prerecorded Event
LaTrece Freeman-Baker, CPC, CPCO, CPMA, CPC-I
60 minutes
Product Description

What You Need to Know to Stay Out of the OIG’s Crosshairs

More and more medical practices are utilizing skilled non-physician practitioners (NPPs), such as Physician Assistants (PAs) and Nurse Practitioners (NPs), to help provide more efficient and patient-friendly care. But this trend has certainly not escaped the attention of the HHS Office of Inspector General (OIG)— in fact, the OIG has stepped up its efforts to identify practices that aren’t complying with the NPP coding and billing rules.

Join coding expert LaTrece Freeman-Baker as she instructs you on how to bill for services that an NPP provides in collaboration with a physician— versus when the NPP should bill independently. Learn the definitions and differences between the “incident-to” and split/shared guidelines and how to properly apply these rules.

After attending this webinar, you will be able to properly document and bill for services that involve an NPP. Office managers and coders will be able to identify and educate clinical staff on the correct application of the incident-to and split/shared guidelines. Also, billers will have the ability to research issues related to claims denials involving NPP services. Ultimately, you will know how to ensure that your practice receives proper reimbursement for services rendered, while avoiding compliance risks.

Session Highlights

Here is a taste of what you will uncover:

  • Learn the definition of “incident-to” billing and in which settings it applies.
  • Uncover the practice and supervision requirements for the physician—and learn how to ensure that you’re following these rules.
  • Take a deep dive into split/shared billing and discover when you should use it instead of Incident-to billing.
  • Learn what documentation you must provide for Split/Shared billing.
  • Get a solid understanding of what to expect regarding reimbursement for NPP services.

Session Agenda

  • General coding guidelines
  • Who qualifies as an NPP and who does not?
  • “Incident-to” billing – key requirements
  • Claims submission for NPP providers
  • Split/shared billing – key requirements
  • Non-applicable services in the hospital
  • Split/shared billing – allowed & disallowed settings
  • Proper “incident-to” billing – why it matters
  • NPPs serving as scribes
  • Consequences of improper billing
  • How to protect your practice

Who Should Attend

  • Billers
  • Coders
  • Office Managers
  • Auditors
  • Physicians working collaboratively with NPPs

Order Below or Call 1-844-384-4744 Today

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About Our Speaker

LaTrece Freeman-Baker

LaTrece Freeman-Baker, CPC, CPCO, CPMA, CPC-I, is the owner and Program Director of Physicians Choice of Certified Coders [PCOCC] Medical Billing and Coding service. As such, she oversees the billing, coding and compliance functions for physician services. LaTrece has had an extensive career managing the business side of medicine, spending over 20 years becoming an expert in medical coding and billing within many ambulatory settings,...   More Info
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