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Medicare reimburses advanced practice providers (APP) for services that are ‘incident to’ a physician’s service with defined guidelines. When billed correctly, these services are reimbursable at 100 percent of the physician’s fee schedule. This course will help reduce audit risk when your team understands Medicare and third-party guidelines for APP service billing.
This is a comprehensive course with expert guidance that covers the documentation requirements needed to support claims, cross-checking and code selection, how to avoid under-coding, and work through grey areas. Learn the differences in APPs, NPs, PAs, RNs, CNMs, CRNAs, scope of practice and protocols. The instructor will explain how to handle tough billing situations like split/shared billing, utilization of APPs in alternate healthcare settings, and collaborative agreement arrangements.
Additional guidance on unique billing situations will include:
This is an intermediate-level training designed to benefit medical office coders, billers, auditors, practice managers, compliance officers, and non-physician providers.
There are no programs scheduled at this time