Correct Coding for “Incident to”, “Shared Visits” and “Observation Care”

Event Information
Product Format
Prerecorded Event
Michael A. Ferragamo, Jr., MD, FACS
Conference Date
Wed, Oct 14, 2015
90 minutes
Product Description

Billing Correctly For NPPs Services to Bring In More Revenue and Avoid Denials or Non Compliance

As more and more patients are now being seen and examined by non physician providers (NPPs), especially in office encounters, the coding for these various services become quite important. Ensuring correct coding is vital to ensure proper payments and to avoid denials and loss of revenue, as well as to protect you from possible exposure to penalties and fines.

Join expert speaker Michael A. Ferragamo, Jr., MD, FACS in this important audio conference that will provide you with the knowledge to properly code for the work of physician assistants (PAs), nurse practitioners (NPs), as well as coding for the various scenarios that may occur with these providers (i.e. shared visits between an NPP and a urologist as well as observation services). Examples and literature reviews will be presented for a clear understanding of the rules and regulations that must be followed.

Session Highlights:

  • Reasons why you should use NPPs in your practice
  • How to bill correctly for NPP services to bring in more revenue and avoid denials or non compliance
  • What services can NPPs provide?
  • What supervision is required for NPPs?
  • How to properly bill for shared visits, what requirements are necessary?
  • What does incident to billing mean and what documentation is required?
  • When to bill for shared visits?
  • What visits can be shared and for which one may receive reimbursement?
  • What is necessary to correctly bill for observation services?

Michael will also cover:

  •  Benefits of Having a Non-Physícian Provider with “Incident To” Billing
  •  Problems of Having a Non-Physícian Provider
  •  Medícare “Incident to” Billing Scenarios
  •  Blue Shield / Blue Cross Non-Physícian Billing
  •  2016 Continuation of the “Incident-To” Rules  Reversal of CMS change in supervising MD
  •  New Policies for Physícian Assistants
  •  Urology Coding Update
  •  Criteria for Observation Services
  •  And more!

Who should attend?

Coders, billers, urologists and anyone interested in the proper billing for NPPs, observation services, and shared billings.


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About Our Speaker

Michael A. Ferragamo - Urology Coding Expert

Dr. Michael A. Ferragamo, Jr., MD, FACS, is the former chief of urology of Hempstead Medical Center and of Franklin Medical Center of Long Island, New York, and presently is assistant clinical professor of urology, State University of New York, Stony Brook School of Medicine. Michael is a consulting editor for Urology Coding Alert and is a coding consultant for many private practices across the United States as...   More Info
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