Coding and Billing for Mid - Level Providers

Event Information
Product Format
Prerecorded Event
Barbara J. Cobuzzi, MBA, CPC, CENTC, COC, CPC-P, CPC-I, CPCO, AAPC Fellow
60 Minutes
Product Description

Understand The Rules And Avoid Possible Fraudulent Billing For Your Mid-Level Practitioners

Incident to billing is a target area in the OIG Work plan. Is your practice ready to withstand an Audit in the area of correct documentation, coding and billing for Mid-Level providers? 

Medicare’s rules for coding and billing for Mid-Level providers are clear, but you need to know where to find these rules. Again, just because you know Medicare’s rules does that mean you know how to code for and bill for your Mid-Level Providers for Non-Medicare payers. You also need to understand if your state Medicaid follows Medicare rules, or do they have their own unique rules. You also need to know your compliance risks when it comes to utilizing Mid-Level providers. 

This information is a must know for any practice utilizing or considering hiring mid-level providers. Compliance risk is great if the complexity of this topic is not fully understood. Join Barbara Cobuzzi, nationally-known speaker and presenter on a 60-minute power packed session to get the loop. 

Register today and learn:

  • How and where to find Medicare’s rules for Mid-Level providers.
  • What questions to ask non Medicare payers to determine what the practice needs to do in order to be compliant?
  • Policies and procedure recommendations consistent with Medicare and other payer rules.
  • Risk assessment - What are your compliance risks when it comes to utilizing Mid-Level providers?
  • How to withstand an audit of documentation, coding and billing for Mid-level providers
  • Documentation requirements for evaluation and management services (E/M services).
  • Determining who has the ability to bill for services and when.
  • The different insurance protocols regarding billing of E/M services.
  • Medicare’s rules on shared visits
  • License Requirements & Scope of Practice
  • What are your state’s rules?
  • Different types of supervision - Direct supervision, Personal supervision, General/Indirect supervision
  • Billing procedures for CRNPs and PAs in your practice.
  • Incident to Services and “incident to” criteria per CMS
  • Can CMS’s “incident to” rules be applied to non CMS payers?
  • What if the non-Medicare Payer does not credential or recognize the NPP’s NPI?
  • Time Based Codes involving NPPs
  • Care Plan Oversight
  • Modifiers for use with Medicare Carriers
  • MD share a visit with a hospital employed NPP
  • Shared/Split Visit Documentation
  • Medicaids and other Commercial Carriers
  • Examples & Questions

Who should attend? Physicians, Mid-Level providers, Office Managers and Administrators, Coding managers and coders, Billing managers and billers

Order Below or Call 1-866-458-2965 Today

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About Our Speaker

Barbara J. Cobuzzi - Healthcare Compliance Training Expert

Barbara J. Cobuzzi owns CRN Healthcare Solutions which provides value added provider consulting services. She holds a B.S. in industrial engineering from Rensselaer Polytechnic Institute and an MBA from New York University. She holds certifications from the AAPC as a CPC (certified physician coder), COC (certified hospital outpatient coder), CPC-P (certified payer coder) a CPC-I (certified coding instructor) and a CPCO (certified professional compliance officer). She also holds...   More Info
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