Non-Physician Practitioners - What Services Can They Perform, Where and How

Event Information
Product Format
Prerecorded Event
Jill M. Young, CPC, CEDC, CIMC
60 minutes
Product Description

Insights on the CMS/Medicare's Rules for Non Physician Practitioners, Incident to, and Direct Services

Non Physician Practitioners (NPP) are being seen more and more in both the office and the hospital setting. You will be surprised to know the number of limitations and independence rules that are overlooked every day. Compliance rules can vary carrier to carrier and that makes it even more confusing. Just because you were paid does not imply you are providing a service compliantly. "Everyone does it that way" is not a defence when the carrier is taking payment back.

Join expert speaker Jill M. Young, CPC, CEDC, CIMC in this informative session to locate CMS/Medicare's rules for NPP, incident to and direct services. She will help you find the supervision rules for diagnostic procedures and how to apply them. This 60-minute session will provide tips for working with carriers who do not have a defined policy for incident to services.

Also, get ideas for how to structure your office (or hospital) use of NPP's to be efficient and compliant.

Areas covered in the session:

  • Diagnostic tests - when can NPP's supervise and when can't they?
  • How to research payer's policy regarding NPP services?
  • What services can NPPs perform, where and how?
  • Hospital Services vs. Office Services - how independent can a NPP be?
  • Provider based billing - which rules apply? Be surprised!
  • New patients and new problems, what are an NPP's options for billing?
  • Why the physician component of documentation for NPP services is not the same as for physicians supervising residents?
  • What are your Carriers Policies regarding NP or PA?
  • Incident To Care & Documentation Requirements
  • Understanding split shared and incident to services?
  • Why does location, hospital's office, matter to an NPP's level of supervision?

 Who should attend

Coders, Billers, NPP, Office Managers, Physicians


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About Our Speaker

Jill M. Young - Pulmonology Guidelines Expert

Jill Young, CPC, CEDC, CIMC, is the Principal of Young Medical Consulting, LLC, A company founded 11 years ago to meet the education and compliance needs of physicians and their staff. Jill has over 30 years of medical experience working in all areas of the medical practice including clinical, billing and rounding with physicians. Her comments and opinions can be seen in several publications and also...   More Info
More Events By The Speaker

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