IMPORTANT: How you bill split/shared and incident to services between your physician and Advanced Practice Providers (APPs) is about to get even MORE complicated effective January 2023 (even beyond the dramatic changes earlier this year).
Mastery of the 2023 split/shared and incident to billing rules will allow more of the services your APPs provide to be paid at 100% of the physician rate (instead of just 85%). To get this 15% reimbursement boost, you must have a handle on key elements of billing split/shared and incident to services, such as calculating time spent, documenting supervision, and implementing the new definition of “substantive portion” going into effect January 1.
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 provide you with step-by-step, plain English guidance so you can accurately code your split/shared and incident to services so that your APPs receive 100% of the physician rate every single time it is due.
Here are just a few of the time-tested split/shared and incident to services coding and billing strategies you’ll receive by attending this online training:
- Pin down split/shared “substantive portion” calculations (new 2023 rule)
- Evaluate which APP 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…
Stop losing money when both your physician and APP care for the same patient. To do so, you must be able to definitively determine which rules govern these complicated coding systems (split/shared and incident to services). The only way to accomplish this is to successfully transition to the new 2023 shared services billing rules, effective January 1.
By attending this upcoming, expert-led online training, you can make sure that your APP 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 must-attend online training today.
P.S. Although this online training for split/shared and incident to services billing will focus on CMS rules, typically commercial payers follow suite. Accordingly, whether you bill Medicare or not, if you utilize APPs in your practice, you will benefit from this upcoming training. To guarantee your access, register 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.