|Date:||Wednesday, October 31, 2012|
|Time:||12 noon to 1:30 p.m. Central Time|
|Presented by:||Linda D'Spain, CMPE, CMCO, CMC, CMIS, CMOM|
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Webinar/Audio Conference FAQs
This session will address compliance concerns regarding mid-level provider billing patterns. The doctor has left the building. Now what? Can we still bill Incident-to? Understand why the OIG is looking at Incident-to services this year and get clarification on the guidelines and billing requirements. The rules and guidelines for Medicare and other third-party carriers can get confusing when billing for non-physicians practitioners. This session will help you better understand the rules and avoid possible fraudulent billing for your mid-level practitioners.
This Webinar will cover these topics:
- Differences in type of mid-level providers
- Why the RACs are scrutinizing practices that employ mid-level providers
- Incident to billing criteria, requirements and reimbursement issues
- "Scope of practice" for mid-level providers according to state law
- Differentiating between "scope of practice" and "scope of license"
- Examples of non-physician practitioners and auxiliary personnel
- Explanation of setting of services
- Incident-To FAQs
- Get concrete examples and answers your questions about billing in many types of situations.
- Get the guidance you need to ensure that the documentation supports your claims
"Incident to" services are specific to Medicare billing and have
defined guidelines that must be followed. Medicaid carriers in most
states follow the rules set by Medicare for billing of these types of
services, but not always. Some of your other carriers may reimburse
for non-physician practitioners differently. It is imperative that you
review your participation agreement with every managed care
company that you contract with.