Physicians Working with Non-Physician Practitioners – To Bill or Not to Bill

Why Should You Attend:

To help address the need of running a more efficient and patient friendly medical practice, more and more physicians are utilizing skilled Non-physician providers (NPP), such as a Physician Assistant (PA) or Nurse Practitioner (NP), to help care for their patients. However, many physicians, NPPs, as well as coders and billers, are often confused as to how to bill for services provided by an NPP in collaboration with the physician and when it is appropriate for the NPP to bill independently. Added to their concern is the fact that the Office of Inspector General (OIG) has stepped up its efforts to identify physician practices not compliant with the rules.

This webinar is designed to help shed light on the definitions and differences between the “Incident-to” and Split/Shared guidelines, as well as to provide guidance as to the proper application of these rules. The information outlined will assist any practice in ensuring that they receive proper reimbursement for services rendered, while avoiding compliance risks.

Areas Covered in the Webinar:

• What is the definition of ‘incident to’ billing
• In which setting(s) does ‘incident to’ billing apply
• The practice and supervision requirements for the physician
• What is “Split/shared” billing
• What documentation is required for “split/shared” billing
• Reimbursement - What to expect
• Why Compliance Matters

Who Will Benefit:

• Medical Billers
• Medical Coders
• Office Managers
• Coding Compliance Offices & Auditors
• Physicians working collaboratively with Non-physician providers (NPP)

LaTrece Freeman Baker
Owner, Physicians Choice of Certified Coders

LaTrece Freeman-Baker, CPC, CPCO, CPMA, CPC-I, is the owner and Program Director of Physicians Choice of Certified Coders [PCOCC] Medical Billing and Coding service. As such, she oversees the billing, coding and compliance functions for physician services. LaTrece has had an extensive career managing the business side of medicine, spending over 20 years becoming an expert in medical coding and billing within many ambulatory settings, including physician practices, ambulatory surgery centers and FQHCs. More recently, she served as the Director of Physician Revenue Cycle and Provider Education at two of Chicago's major healthcare systems.

Over the years, LaTrece has successfully developed, implemented and taught curriculum surrounding medical coding and billing conventions to physicians and coders alike, in an effort to ensure optimal reimbursement for physician services while keeping a watchful eye on compliance regulations from both governmental and private payers. Due to the increased focus on coding and compliance in healthcare, LaTrece has been certified in three key coding areas: Physician Coding (CPC), Healthcare Compliance (CPCO), and Professional Medical Auditing (CPMA). These certifications, obtained from the American Academy of Professional Coders (AAPC), have enabled LaTrece to expand her expertise of Medical Coding and Compliance in order to better assist healthcare providers in understanding and managing this business side of medicine.

Follow us :