Head off Costly Incident to and Supervision Rule Mistakes


You can be paid more for your non-physician practitioner (NPP) claims, without the worry of getting audited, being hit with payer recoupments, or having to pay massive violation penalties. incident to billing guidelines.

What’s the catch?

You must comply with complex and confusing supervision and incident to billing guidelines for your NPP services’ claims. But when you consider that you can get paid 15% more for your NPP services, it is well worth it.

There are numerous accounts of practices, just like yours, having to pay massive penalties for failing to comply with supervision and incident to billing guidelines. Just two examples include a TN primary care practice that paid $341,690 and a NJ urology practice that paid $266,882.13. The US Attorney’s Office has made it clear that it will not tolerate noncompliance in this area. But you shouldn’t let this stop you from getting paid every penny you’re due for your NPP services.

This is where coding expert, Leslie Boles, BA, CCS, CPC, CPMA, CHC, CPC-I, CRC, can help. Leslie is presenting a 60-minute online training session that will walk you through exactly how to comply with Medicare and private payer requirements for NPP supervision and incident to billing guidelines. By attending this upcoming training, you’ll get paid more of what you deserve for your incident to services.

By attending this online training, you’ll receive practical, step-by-step, easy-to-implement strategies to help you comply with supervision and incident to billing guidelines. Here is just some of the expert-advice you’ll receive:

  • Avoid hefty penalties for location violations that might surprise you
  • Cut through NPP telemedicine physician supervision confusion
  • Easily master supervision rules and boost your NPPs reimbursement by up to 15%
  • Audit proof your medical records to satisfy incident to documentation requirements
  • Bust Physician Assistant 99214 and 99215 rumor limits for allowed E/M visits
  • Watch for these private payer co-signature requirements to protect your claim payments
  • Breakdown new vs. established patient supervision rules
  • Correctly incorporate scope-of-practice-perimeters to stop penalties
  • Clarify NPP E/M services (99211) rules you are probably missing out on
  • Identify when you CAN’T bill patients “incident to” even with direct supervision
  • Determine when split/shared services’ can be paid at the higher physician rate
  • Single out what nursing designations count as “physician” in the Medicare manual
  • Uncover additional allowable NPP services that will maximize your revenue
  • Get NPP claims paid for multiple, same day E/M services
  • Pin down what “direct supervision” REALLY means and how to comply
  • Apply new vs established patient supervision rules to boost pay up
  • Quickly identify and avoid incident to errors that will get you audited
  • Uncover hidden reimbursements by accurately billing split-shared services
  • Get private payers to reimburse you at the 15% higher physician rate
  • And so much more….

IMPORTANT: Even if your practice doesn’t see Medicare patients, you should still pay serious attention to what CMS is doing. Private carriers usually end up following suit with CMS. So, regardless of the type of NPP your practice is utilizing (i.e. PA, NP, CRNA, CNM, CNS, etc.), this upcoming online training is a must-attend if you want to receive all of the reimbursement you are eligible for.

Just knowing where your physician is when your NPP performs a service is only one SMALL piece of complying with incident-to and supervision rules. To get paid every penny you’re due, you must understand what supervising REALLY means. This training will help you overcome these and other important requirement to comply with supervision and incident to billing guidelines.

Don’t just sit back and wait to get chosen for an audit. Don’t just accept getting paid 15% less than you should. Take action. Sign up for this online training session today.

Register for this online training, and you will also receive a downloadable PDF of the best-selling Incident to Decision Tree. This tool will help you identify what is and isn’t an incident-to service more easily than ever before ($19.99 value).

Meet Your Expert

Leslie Boles
BA, CCS, CPC, CPMA, CHC, CPC-I, CRC Compliance Audit Director and Coding Instructor

Leslie is currently Director of Compliance Audit at Waud Capital Partners and as a Coding Instructor at Rutgers University. She has more than 13 years of experience in outpatient coding, auditing and compliance, and coding education.

Leslie prides herself in being able to present very complex coding and documentation regulations in a simplified manner. She has the credentials of CCS, CPC, CPMA, CHC , CPC-I and CRC from the American Academy of Professional Coders® (AAPC®), American Health Information Management Association (AHIMA) and the Health Care Compliance Association (HCCA).

Leslie has developed and implemented multiple training programs on physician coding and documentation, Medicare and Medicaid policy and compliance programs. She holds a bachelor’s degree in Healthcare Administration from The University of Arizona and is currently a member of the Board of Directors and is Co-Chair of the Compliance Committee of the Healthcare Financial Management Association (HFMA), NJ chapter.


We thought the speaker did a great job! She cleared up some of our questions and we will be taking this information back to our providers.
All Colleagues
Pulmonary Associates