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. 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.
Fortunately, coding and billing expert Kim Huey MJ, CHC, CPC, CCS-P, PCS, CPCO is here to help. During her 90-minute online training session, Kim 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 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:
- Pin down split/shared “substantive portion” calculations (new 2023 rule)
- Evaluate which services qualify for incident-to vs. split/shared billing
- Boost pay by accurately calculating substantive services for APP split/shared visits
- Master incident-to supervision documentation rules to curb auditor scrutiny
- Properly append modifier FS to avoid denials and speed payments
- Uncover when and how to bill split/shared for in- and outpatient visits
- Master direct patient contact requirements for split/shared visits
- Collect for split/shared services at initial visits, not just established visits
- Bulletproof your split/shared claims against payer (and OIG) audits
- Correctly incorporate scope-of practice-perimeters to stop incident-to penalties
- Reveal which NPI (physician vs. APP) is accurate to head off raising auditor red flags
- Determine whether you can bill incident-to in locations besides your office
- And so much more…
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.
By attending this online training, you can make sure that your NPP services are reimbursed every penny they are ethically due. Don’t allow another shared services’ claim to be underpaid when the care provided clearly justifies reimbursement at 100% of the physician fee schedule (instead of just 85%).
In just 90 minutes, you’ll learn how to accurately bill both split/shared and incident to services by mastering the new 2023 coding/billing changes. Don’t wait. Sign up for this online training today.
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.
Clear Handouts. Kim Huey is very experienced and a good presenter. She provided lots of good examples.
The webinar was very informative and the speaker clearly defined the different billing scenarios. Job well done!