NPP Incident-to: Master Supervision and Billing Rules to Maximize Your Reimbursement


IMPORTANT: If you think that just knowing where your physician is when your NPP performs a service is enough to comply with Medicare supervision rules THINK AGAIN. This is only one SMALL piece of complying with these complex regulations required to get paid at the higher physician rate.

Complying with Non-Physician Practitioners (NPPs) incident-to billing and supervision rules is just plain confusing. Even an innocent mistake can cost you tens of thousands of dollars, or even worse, land you in serious financial and legal hot water.

The only thing standing in your way from maximizing your NPP reimbursement is deciphering and complying with Medicare’s complex incident-to supervision and billing rules. This is where Kim Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC, can help

During her 60-minute online training session, Kim will walk you through Medicare’s incident-to supervision rules and tell you EXACTLY how you can stop losing money on these every-day services. During this plain-English, online training, you’ll receive proven coding, billing and compliance tactics you can easily implement to improve the accuracy of your NPP claims. Ultimately, this training will help you receive the highest reimbursement ethically possible for your NPP services.

Here are just a few of the proven, step-by-step tactics you’ll receive by attending this 60-minute online NPP coding, billing and compliance training:

  • Increase your billing opportunities by uncovering location exceptions that qualify
  • Utilize exclusion screening to head off massive violation penalties
  • Uncover additional NPP billing opportunities you’re missing out on
  • Get paid at the higher physician rate by carriers other than Medicare
  • Breakdown supervision rules related to new vs. established patients and improve payup
  • Identify when existing patients CAN’T be billed incident-to even with your physician’s direct supervision
  • Determine when your NPP can be paid for multiple, same day E/M services, and how to code them
  • Stop missing out on inpatient billing, instead use split/shared visit to capture this reimbursement
  • Head off over payments and keep auditors at bay
  • Clearly determine what benefit categories you are not allowed to bill as incident-to
  • Identify when split/shared services’ can be paid at your doctor’s rate
  • Maximize your reimbursement by applying shared E/M visit rules
  • Incorporate 2019 online E/M services billing for non-face-to-face services, boost your bottom line
  • Identify how Medicaid incident-to rules differ from Medicare
  • Determine what employment statuses are approved for incident-to billing
  • Reveal when state incident-to supervision laws kick in
  • Accurately bill for your NPPs role in transitional care management
  • Quickly identify and avoid incident-to errors that will get you audited
  • Pin down when your NPPs can perform consults, and get paid for them
  • Avoid audit red flags, correctly use NPP independence guidelines for office vs. hospital services
  • Accurately incorporate scope-of practice-parameters to stop repayments
  • And so much more….

CMS continues to aggressively target practices filing NPP incident-to claims for audits, and it doesn’t matter what type of NPP your practice is utilizing (i.e., PA, NP, CRNA, CNM, CNS, etc.).  CMS knows that NPP billing requirements are complicated, and regularly result in errors. They see it as low-hanging fruit to recoup reimbursement they believe has been paid in error or collect by imposing penalties for noncompliance. Don’t let this happen to you…

You can get paid more of what you deserve for your NPP services AND stay off of CMS’ audit radar. And this expert-led online training will show you how. Don’t wait, sign up for this must-attend online training today.

NOTE:  You are completely protected at all times. This training is covered by a 100% Guarantee.  If for ANY REASON you re not completely satisfied with the valuable training you’ll receive, just let us know and we will return every penny you paid. No questions. No Hassles. Guaranteed.

Meet Your Expert

Kim Huey
MJ, CHC, CPC, CCS-P, PCS, CPCOKGG Coding and Reimbursement Consulting, LLC

Kim is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physicians. Kim completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine.

She completed a Bachelor’s degree in Health Care Management and went on to obtain certification through the American Academy of Professional Coders and the American Health Information Management Association.

Recognizing the important position of compliance in today’s world, she has also obtained certification as a Certified Healthcare Compliance Consultant and a Certified Healthcare Audit Professional. Kim is also an AHIMA-approved ICD-10-CM trainer and has recently earned a Master of Jurisprudence in Health Law.

For over twenty-five years, Kim has worked with providers in virtually all specialties, from General Surgery to Obstetrics/Gynecology to Oncology to Internal Medicine and beyond. She has spoken at the national conference for numerous organizations.


Pleasant Sounding Speaker; Informational.
JJ Bales
Billing Specialist, Proserve Practice Management
Great! I love listening to Kim.
Leigh Davis
Coder, Lee Obstetrics and Gynecology
Speaker was clear, easy to listen to, Knowledgeable and covered the topic well.
Shelly Griffith
COO, House Call Doctors Medical Group
Kim was very informative. I enjoyed this Webinar.
Kathy Mills
Director of Operation, Midland Health Premier Physicians
Very Informative. I will be able to educate our providers on this information.
Heidi Ondriezek
Revenue Cycle Manager, Affiliated Dermatologists