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Incident-To Compliance: Maximize Non-Physician Practitioner (NPP) Reimbursement

Presenter: Leslie Boles BA, CCS, CPC, CPMA, CHC, CPC-I, CRC
Duration: 35 minutes
Date and Time: Access anytime

$149.00

Course Overview

Medicare typically only pay 85% of their approved physician fee schedule for a service rendered by credentialed non-physician practitioners (NPP). If you employ non-physician practitioners and follow the Incident-To rules, you can bill at the full physician rate (100%) for service provided by non-physician practitioners. Complying with the complexities of Incident to billing supervision regulations is the only way for your practice to get paid 15% more for your non-physician practitioner (NPP) services. Billing, coding and compliance expert Leslie Boles BA, CCS, CPC, CPMA, CHC, CPC-I, CRC will help you cut through the complexities of these Incident-To rules and capture the additional reimbursement.

What you’ll learn:

  • Why bill “Incident-To”?
  • Practical understanding of “Incident-To”
  • When you can bill Non-Physician Providers (NPP) claim at 100%?
  • Incident-To Requirements
  • Billing for Incident-To Services
  • Other considerations: (a) compliance with scheduling and supervising new visits for new and existing patients (b) Federal False Claim Act violations
  • Common Misinterpretations
  • When you cannot bill Incident To services?
  • Clinical Case Study and Enforcement Actions

Who should attend:

  • Physicians
  • Non-Physicians Providers
  • Billing and Coding Specialists
  • Revenue Cycle Manager and Staff
  • Practice Managers
  • Clinical Operations Staff
  • Compliance Officers
  • Healthcare Executives and Leaders
  • Anyone involved in the billing and getting paid for NPP Incident to services

Don’t miss this opportunity to learn how to comply with Incident-To rules and maximize your Non-physician practitioners (NPP) reimbursement.

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