Non-Physician Practitioner (NPP) Coding and Reimbursement

Event Information
Product Format
Prerecorded Event
60 minutes
Product Description

Know How to Stay Compliant with Non-Physician Practitioner Coding, Billing and Maximize Your Reimbursements.

Join this conference by expert speaker Terry Fletcher to understand the specific Medicare billing guidelines for NPPs such as nurse practitioners, PA, clinical nurse specialists, etc.

After attending this session, you will not only understand how to stay compliant in your NPP billing, but also identify how to maximize your reimbursement and utilization of your NPP employee. Terry will discuss your role in a PCP office as well as specialty clinics.

Session Highlights:

  • Specific Medicare Billing Guidelines for NPP's
  • 100% vs. 85% reimbursement is based on NPI billing – What does it mean
  • Incident to vs. Direct Provider Billing
  • Can an NPP bill a new patient visit?
  • Can an NPP supervise diagnostic tests?

Get answers to questions such as:

  • When can there be a conflict between Federal vs. State Guidelines and what you should do?
  • Detailed discussion on the 3 Levels of Supervision
  • Do you credential non-physician providers and include them in your provider listing? Do you allow patients to select them as primary care providers?
  • Do you require that submitted claims use the NPP's name and provider number, or the physician's name and provider number?
  • If we bill for the services of the NPP using the physician's provider number, and the patient's usual physician is not in the office, should we bill under the usual physician's name or the name of a physician who is in the office?
  • What is your reimbursement rate for NPP services?
  • Are you tracking your Commercial carriers on their rules?

Additional resources:

  • MCM sections related to the topic
  • Specified Guidelines for reference
  • Review of some state guidelines showing possible conflicts
  • NPP Scope of Practice look
  • Specific NPP employment guide

Who should attend?
Coders, Billers, physicians, administrators, collectors, NPP's


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About Our Speaker

Terry Fletcher - Cardiology Coding Expert

Ms. Terry Fletcher is a Healthcare Coding & Billing Consultant based in Southern California. With over 30-years experience, Ms. Fletcher is an Editorial Board Member for, a coding, billing and reimbursement educator for McVey Seminars, MGMA, Audio Educator, AAPC, AHIMA, Medlearn, DecisionHealth LLC, Medical Management Institute and her company Terry Fletcher Consulting, Inc., teaching over 100 specialty coding Seminars, Teleconferences and Webinars every year. Terry is a practice auditor...   More Info
More Events By The Speaker

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Dear Valued Customers


We regret to announce that ProEdTech LLC and all its affiliate brands will cease operations on April 1, 2019.


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