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Stay Compliant When Coding for Services Provided by Non-Physician Practitioners

Learn how to stay compliant when coding for services provided by different types of NPPs.

Many health care providers and organizations find it difficult to understand and comply with the various payor guidelines when billing for non-physician practitioners. Supervision, location, and type of service all play a role as well as payor specific guidelines. It can be hard to figure out when and where to apply incident-to guidelines and when to bill under the practitioner's NPI. This information will help administrators, practitioners, office managers and billers understand how to stay compliant when coding for services provided by nurse practitioners, physician assistants, certified nurse midwives, physical therapists, dieticians, and other non-physician practitioners. Learn when and where to apply incident-to rules, how to educate practitioners and staff, as well how to monitor techniques to ensure quality standards are being met.

59 minutes
Certificate of Completion
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Why Lorman?

Over 34 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Agenda

Understand Incident-to Guidelines

  • CMC Guidelines
  • State Medicaid Guidelines
  • Commercial Payer Guidelines

Consider the Setting and Type of Service

  • Office Services
  • Hospital Visits
  • Surgeries
  • Physical Therapy

Implement Standards and Assign Responsibilities

  • Written Policies
  • Education
  • Credentialing/Provider Enrollment

Monitor for Compliance

  • Payment Rates
  • Random Audits
  • Refund or Rebill
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Why Lorman?

Over 34 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Credits

OnDemand Course

This course was last revised on April 22, 2020.

Call 1-866-352-9540 for further credit information.

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

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Why Lorman?

Over 34 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

Carol Hoppe, CPC, CCS-P, CPC-I

Carol Hoppe, CPC, CCS-P, CPC-I

MedLucid Solutions, LLC

  • President and CEO of MedLucid Solutions, LLC, providing clear solutions for medical practices
  • Assists clients with all aspects of coding, billing, A/R and practice management for professional health care services, including chart reviews, education, practice assessments, practitioner shadowing, and interim management support
  • Conducts regular seminars and workshops on numerous topics, including E/M documentation guidelines, annual coding updates, and specialty specific coding sessions for clinicians and staff
  • Certified Professional Coder (CPC) and a Certified Professional Coding Instructor (CPC-I), American Academy of Professional Coders (AAPC); Certified Coding Specialist Physician Based (CCS-P), and American Health Information Management Association (AHIMA)
  • Taught medical billing and coding as an adjunct instructor at Sanford Brown College, Indianapolis; online adjunct instructor at Ultimate Medical Academy
  • Published author on articles related to billing, coding and A/R management
  • Current member of the WPS Medicare Part B J8 Provider Outreach and Education Advisory Group (POE AG)
  • Billing, coding and practice management representative for the Indiana State Medical Association
  • B.S.M. degree, summa cum laude, Indiana Wesleyan University
  • Can be contacted at 317-537-7553, [email protected], www.medlucidsolutions.com or on LinkedIn┬« and Facebook┬«
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Why Lorman?

Over 34 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

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Product ID: 407266
Published 2020
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