NPP Incident-To: Use Supervision to Maximize Your Reimbursement

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You can be paid for more services performed by your Non-Physician Practitioners (NPPs) than you think.

The problem is that Medicare physician supervision requirements for billing incident-to claims are just plain confusing. So, how can you be sure you’re meeting the necessary requirements so your claims can be paid at the higher physician rate? The only way is to have a firm handle on supervision requirements. Otherwise, billing for your midlevel services can land you in serious financial and legal hot water for fraudulent billing.

During this online training session, coding and compliance expert Jennifer Swindle RHIT, CCS, CCS-P, CDIP, CPC, CIC, CPMA, CEMC, CFPC, will walk you through the incident-to supervision rules. She’ll provide you with proven tactics to help unsure your claims are filed accurately, and you’re receiving the highest reimbursement ethically possible.

Here are just a few of the proven, step-by-step tactics you’ll receive by attending this online training:

  • Master midlevel supervision documentation that will stop recoupment requests and fines
  • Key medical record entries regarding physician initiation get more incident-to claims paid
  • Pin down how NPP’s scope of practice can get your claims denied
  • Stop writing off midlevel provider claims (85% is better than nothing)
  • Get paid for midlevel services at physician rates by private carriers too
  • Breakdown supervision rules related to new vs established patients
  • Identify when existing patients can’t be billed incident-to even with the physician present
  • Stop missing out on inpatient incident-to billing because of no physician present
  • Identify when split/shared services’ claims for inpatient services can be billed at 100%
  • Correctly applying shared E/M visit rules to get paid more of what you are due
  • And so much more….

Just knowing where your physician is at the time of a midlevel provider service is only one small piece of complying with Medicare supervision rules. You must understand what supervising really means within the context of “incident to” in order to bill at the higher physician rate.

You can get the information you need to master Medicare incident-to supervision requirements and get paid more for your nurse practitioner and physician assistant services. Don’t wait, sign up for this online training today.

Meet Your Expert

Jennifer Swindle
RHIT, CCS, CCS-P, CDIP, CPC, CIC, CPMA, CEMC, CFPCVP Quality and Service Excellence, Salud Revenue Partners

Jennifer has more than 25 years of experience in the healthcare industry. She spent most of that time leading coding and compliance initiatives in large healthcare organizations and as a consultant.

In her role with Salud, Jennifer is responsible for physician and staff education, implementing compliance plans and evaluating clients’ current compliance initiatives, providing coding outsourcing to assist clients with timely filing needs, and providing chart audits and data review for assessment of current coding practices.

Jennifer is a published thought leader in hospital and physician group coding and compliance. She is highly credentialed through the American Health Information Management Association and the American Academy of Professional Coders. Jennifer holds a bachelor’s degree from City University of Seattle.