ABC of incidents-to VS Shared Billing

Event Information
Product Format
Prerecorded Event
Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS
60 minutes
Product Description


The concept of "Split shared visits" is relatively easy to understand but the practical use and documentation requirements become the challenge. Non-physician Practitioners (NPP) billing rules are variable. Also, you need to understand the difference between "direct" and "incident to" billing which is the key for maximizing an office's NPP services. Join us for this On Demand Webinar – “ABC of Incidents-to VS Shared Billing” tomorrow Tuesday, July 16th, 2013. This webinar can be accessed anytime of the day once registered.

You’ll find the 2013 OIG Work Plan includes incident-to services. Are you prepared for the increased audit activity?

Expert presenter Elin Baklid-Kunz, MBA, CHC, CPC, CCS, will take you through the latest audit issues for physicians. You’ll learn about the hot topics every physician office needs to know. Also, check out this vital information about reduced payments, increased government scrutiny, and compliance. That way, you’ll know that you’re meeting all of Medicare’s requirements for incident-to services.

This session will help you:

Why the Focus on Non Physician Practitioners (NPPs) & Incident-to?
  1. 2013 OIG Work Plan & NPPs
  2. OIG 2009 Report Findings: Quality of care, Medical necessity, Billing compliance
  3. Recent Compliance News
  4. Risk Areas: NPP Risk Areas & Incident-to Risk Areas 

Non Physician Practitioners (NPP)
1. Eligibility Requirements
2. NPP vs Auxiliary Staff
3. Billing Options
4. Coverage Requirements 

Incident-to Services
1. Basic Requirements
2. Physician Involvement: Direct Supervision, Documentation of Physician’s Involvement, Subsequent Visits.
3. Documentation
4. Different Setting 

Split/Shared Visits
1. Physician Role
2. Different Settings: Facility Setting & Clinic/Office Setting
3. Shared Visits Apply to the these E/M Codes
4. Consultations & Shared Visits
5. Medicaid & Private Payors 

Documentation Requirements
1. Physician Involvement
2. Scribing
3. Examples of Acceptable Documentation
4. Examples of Unacceptable Documentation
5. Common Questions 

Supervision Guidelines
1. General
2. Direct
3. Personal
4. Supervision Indicators 

Education Tools & Resources
1. “Incident-to” Checklist
2. Shared Visits Checklist
3. Reference Tool
4. Resources 


• Discover what you must know about Incident-to services and the 2013 OIG Work Plan
• Go in-depth with the OIG’s report on Non Physician Practitioners
• Define Medicare’s shared/split visits and relationship to “Incident-to”
• Make sure you’re following these documentation and billing requirements
• Learn the private payer difference
• Vital information about reduced payments, increased government scrutiny, and compliance.

And much more...

Who should attend? Coding professionals, billing specialist, practice managers, HIM directors, compliance officers, case managers, physicians

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About Our Speaker

Elin Baklid Kunz - Medical Billing Coding Expert


Kunz is a national speaker and published author on topics related to medical practice compliance, coding, reimbursement, chart audits and federal regulations. Her twenty years of healthcare experience includes six years as Director of Physician Services for a large health system, seven years in corporate finance and four years in compliance. She presents workshops for the American Academy of Professional Coders and delivers keynote presentations for Eli Research...   More Info
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