Billing and coding for mid-level provider seems simple at first but often poses a lot of pitfalls that many private practices, groups, and hospitals are unaware of until they undergo an audit and are levied a hefty fine. Many think the billings rules for nurse practitioners and physician assistants are the same from payer to payer but they are not. Understanding the nuances between the payers is key to obtain maximum reimbursement and remain compliant.
It is important to know when a mid-level provider should be billed incident to a supervising physician and when they should be billed under their own NPI number. Not only is it critical to know when this should be done but clinical and billing staff must be trained on the documentation requirements that each payer expects to support billing for services rendered by mid-level providers that are billed incident to a supervising physician. For instance, some payers require physical presence of the physician during the visit, with a signed attestation – other payers will accept a simple co-signature with proof the physician has had ongoing management of the patient throughout their tenure in the practice.
This webinar is designed to address all of these issues and many more – ensuring your practice, group, or facility are compliant. It will also give you tips on how to maximize reimbursement and guidance on clinical documentation.