Billing and Coding for Mid-Level Provider Updates and Staying Compliant for 2019

Live Webinar | Dreama Sloan-Kelly | From: May 15, 2019 - To: Dec 31, 2019
Description

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.

Session Objectives:-

  • Understand nuances between payers in regards to billing for mid-level providers.
  • Understand documentation requirements for services rendered by mid-level providers.
  • Understand when it is appropriate, and not appropriate, to bill a mid-level provider incident to a supervising physician.
  • Pointers on how to maximize reimbursement for services rendered by mid-level providers.
  • Understand the pitfalls that make you a target for an audit on services provided by mid-level providers.
  • Tips for surviving an audit should it occur.
  • 2019 updates that affect coding and billing for services rendered by mid-level provider.

Session Agenda:-

  1. Rules in regards to services rendered by mid-level providers
  2. What is a supervising physician and what role do they play in the process
  3. Clinical documentation requirements
  4. Insurance nuances
  5. Compliance pitfalls – what makes you a target
  6. What happens during audits and how to prepare
  7. How to respond to an audit finding
  8. Tips to maximize reimbursement for mid-level services
  9. 2019 updates in regards to mid-level services

Suggested Attendees:-

  • Physician
  • Nurses
  • Physician Assistants
  • Nurse Practitioners
  • Medical Assistants
  • Practice Manager
  • Office Managers
  • Billers
  • Coders
  • Auditors
  • CDI Specialists
  • Collection Staff
  • Front Desk

Choose Your Options

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Recorded Session
$193
DVD
$213
Recorded Session & DVD
$353
E-book(Pdf)
$193
Recorded & E-book (Pdf)
$343
DVD & E-book (Pdf)
$353
Unlimited Access
$943




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