NPP Coding and Reimbursement: Non-Physician Practitioners

Instructor: Terry Fletcher
Product ID: 705286
  • Duration: 60 Min
This webinar will provide an overview of the "incident to" rules for the Non-Physician Practitioners (NPP) and Medicare patients. Also, diagnostic testing rules utilizing NPP's will be discussed with a focus on supervision and reimbursement in the physician's office and hospital setting.
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Why Should You Attend:

As health care organizations and physicians are busier than ever, their volume of patients has only increased as reimbursements have decreased. Utilizing an NPP in a Medical Practice cannot only be profitable, but it can solve referral PR issues, allow for weekend call, add revenue to a large practice, and allow for higher referrals with the flexibility of patient access with an NPP.

This webinar will focus on the rules and regulations with NPP's as Medicare as spelled out, with some insight as to the Commercial payers plans, and how to utilize them to maximize reimbursement in a physicians practice.

Areas Covered in the Webinar:

  • NPP rules for Medicare "Incident to"
  • NPP rules for supervising Diagnostic Tests
  • NPP definition per Medicare: PA's, Nurse Practitioners and Clinical Nurse Specialists
  • Discussion of rules for lower level NPP's: RNs, MA's etc
  • E/M coding vs. procedural.
  • Reimbursement discussion for NPP's.
  • How to make your practice profitable with an NPP
  • To learn the rules and compliance regulations surrounding hiring an NPP for a physician practice
  • The profitability of an NPP
  • MPFS look at the viability of an NPP in the physician's office
  • What can an NPP do in the hospital setting
  • Can services be billed out under the physician or do they have to be billed out under the PA and NP?
  • To feel confident in their coding and billing practices for NPP's

Who Will Benefit:

  • Administrators
  • Coders
  • Billers
  • Physicians
  • Collectors
  • Front Office Staff
  • Nurse Practitioners (NPs)
  • Physician Assistants (PAs)
  • Clinical Nurse Specialists (CNS’)
  • Registered Nurses (RNs)
  • Licensed Vocational Nurses (LVNs)
  • Licensed Practical Nurses (LPNs)
  • Certified Medical Assistants (CMAs)
Instructor Profile:
Terry Fletcher

Terry Fletcher
President, Terry Fletcher Consulting Inc

Ms. Terry Fletcher is a Specialty Industry Coding and Billing Expert, Auditor and Educator based in Laguna Beach, California, with over 30 years’ experience. She is a past member of the National Advisory Board for AAPC, past Chair of the AAPCCA, and AAPC National and Regional Conference Educator. She is the Technical Editor for the Select Coder® from DecisionHealth LLC, Editorial Advisor for Cardiology Coding Alert & Practice Management Coding Alert from the Coding Institute. She is an Educator for McVey Seminars, MGMA, Audio Educator, AAPC, AHIMA, Medlearn,, ComplianceOnline, and DecisionHealth, teaching over 100 specialty coding Seminars, Teleconferences and Webinars every year.

Ms. Fletcher is the author of several coding and reimbursement publications, as well as a practice auditor for multiple specialty practices around the country. She moderates her own Coding Corner Network for online CPT/ICD-10-CM Coding Questions from physician coders around the country.

Ms. Fletcher holds a bachelor’s degree (BS) in economics, multiple certifications in coding, and her proficiency certification in ICD-10-CM: CPC, CCC, CEMC, SCP-CA, ACS-CA, CCS-P, CCS, CMSCS, CMCS, and CMC. Her coding and reimbursement specialties include: Cardiology, Peripheral-Cardiology, Gastroenterology, E/M Auditing, Orthopedics, General Surgery, and Interventional Radiology.

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Refund Policy

Registrants may cancel up to two working days prior to the course start date and will receive a letter of credit to be used towards a future course up to one year from date of issuance. ComplianceOnline would process/provide refund if the Live Webinar has been cancelled. The attendee could choose between the recorded version of the webinar or refund for any cancelled webinar. Refunds will not be given to participants who do not show up for the webinar. On-Demand Recordings can be requested in exchange.

Webinar may be cancelled due to lack of enrolment or unavoidable factors. Registrants will be notified 24hours in advance if a cancellation occurs. Substitutions can happen any time.

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