Catalog Number : cra1075
Title : Coding & Billing for Non-Physician Practitioners
Speaker : Duane Abbey

Duration : 90 minutes

Webplay Recording Date : 1-16-2014
Webplay Price : $ 200 for two weeks viewing

Webinar Overview:

Are there special compliance issues that affect NPPs? Can NPPs bill separately to the Medicare program? How do NPPs relate to the Medicare Physician Supervision Rules? To answer these questions and more please come join us in this upcoming Webinar.

Webinar Objectives:

To review the range and type of non-physician practitioners that are utilized by physicians, clinics and hospitals
To appreciate how non-physician practitioners are reimbursed for services under Medicare and other private third-party payers
To understand proper coding conventions and utilization of modifiers for non-physician practitioners
To understand the difference between 'freestanding' situations and 'provider-based' situations
To review the interplay between the MPFS and APCs for non-physician reimbursement in different settings
To appreciate the concept of 'incident-to' and the differences in interpretation between physician/clinic situations and hospital situations
To reviews the physician supervision requirements under Medicare for NPPs
To work through several case studies illustrating the coding, billing and claims filing process and differences in payment
To review the important compliance issues, including the Place of Service (POS), surround the use of NPPs

Webinar Topics:

Non-Physician Practitioner Overview
- Types of NPPs
- Medicare versus State Law Requirements
- Utilization of NPPs o Reimbursement Issues for NPPs
- Compliance Issues for NPPs
Professional versus Technical Component Payment
- RBRVS Review
  - Relative Values
  - Place of Service Differential
  - Examples - Reduced Payment for NPPs
- APC Review
- Freestanding versus Provider-Based Status
- Private Practice for NPPs
- Medicare Enrollment
Non-Physician Practitioners - Compliance
- The 'Incident-To' Concept
  - Freestanding Situation
  - Provider-Based Situation
- Place of Service (POS) Considerations
- Collaborative Agreements and Other Requirements
- Joint E/M Services with Physicians
- Physician Supervision Requirements
Examples and Case Studies
- Nurse Practitioner in Medical Practice
- Physician's Assistant in Provider-Based Clinic
- Clinical Nurse Specialist in Hospital Setting
- Nurse Practitioner at Urgent Care Center
Sources for Further Information

Target Audience:

Billing and Claims Transaction Personnel, Chargemaster Coordinators, Clinic Managers, Financial Analysts, Compliance Personnel, Nurse Practitioners, Physician's Assistants, Clinical Nurse Specialist, Speech-Language Pathologists, Nurse Midwives, Physicians and Other Interested Personnel

Contact Hours:

All participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program.

Refund Policy:

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.

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