Incident to & Shared Visits - Clearing Up the Confusion

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

Meeting Medicare Documentation and Billing Requirements for Incident To and Shared Visits.

The “split shared visits” concept is relatively easy to understand; however, the documentation requirements and the practical use becomes a challenge. Non-physícian 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.

Lately, incident to and shared visits have been subjected to increased government scrutiny leading to reduced payments and compliance concerns.

Join this informative session by expert speaker Elin Baklid-Kunz as she outlines documentation and billing requirements for incident to and shared visits. This session will help ensure that you clearly understand and meet Medícare’s requirements for incident-to and split/shared services.

Session Highlights:

  • Incident-to supervising physícian clarified in 2016 Medícare Physícian Fee Schedule
  • Why the continued focus on NPPs and incident-to
  • Navigating the fraud and abuse laws
  • Medícare’s Shared/split visits vs. “Incident-to”
  • Documentation and billing requirements
  • Audit tips and case studies for incident to and shared visits
  • Compliance improvements steps and tools

Session Agenda:

  • Medícare audit findings and risk areas
    • CMS CERT findings on split/shared E/M services
    • OIG Work Plan
    • 2009 OIG Report: Prevalence and qualífications of NPPs
    • CMS-1500 claim form: Incident-to certification
    • MPFS CY2016: Incident-to changes
    • Billing options for NPPs
    • NPP risk areas
  • Incident-to services
    • Risk areas and confusion
    • Supervision of diagnostic tests
    • Basic requirements
    • Documentation
  • Split/shared E/M visits
    • Medícare rules defined
    • Basic requirements
    • Examples
    • Applicable  E/M codes
    • Documentation
    • Scribing
  • Audit tips and cases
    • Know your state rules
    • Prívate payer differences
    • Specific audit considerations
    • Case scenarios
    • FAQs
  • Audit tools & resources
    • CMS booklet for APRNs & PAs
    • CMS regulation and policy resources
    • Incident-to audit checklist
    • Split/ shared visit audit checklist
    • Reference tools
    • Training checklist
    • Sources for audit concepts
    • CMS resources for billers and coders
    • CMS resources for teaching physicians

Who should attend?

  • Coding professionals
  • Billing specialist
  • Practice managers
  • HIM directors
  • Compliance officers
  • Case managers and,
  • 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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