Looking forward to the new year Non-Physician Practitioners, Physician Assistants and Nurse Practitioners, need to look at any changes to the rules for their practice’s insurances.  CMS/Medicare publish their policies in the manuals posted on their website.  Other insurances policies and procedures need to be checked for adherence with CMS/Medicare’s or discover what nuances they may have.  There are several methods for billing for Non-Physician Practitioner services that are different than CMS/Medicare’s rules.

It is imperative that all parties involved understand what each of these methods are and how the guidelines affect how the practice utilizes, documents and bills for the services of them. 

Changes to CPT guidelines matched with CMS/Medicare’s significant changes for split shared visits in 2024 have caused significant changes in practice’s workflow.  If your practice did not make changes to reflect these changes, you may not be using proper documentation, your billing for services may be incorrect.

Changes the AMA has identified for 2025 will be presented as well.  This timely conference will help you ensure that your practice can have compliant documentation, coding and billing of these provider’s services.

Webinar Objectives
  • Changes for 2025 from the AMA
  • Changes for 2024 for Split Shared visits - who has to do what portion of the service and what documentation is needed – in which location
  • Scope of Practice – understanding differences state to state
  • Incident To – documentation and billing of this often mis-understood concept
  • Direct Billing – the simplest and more direct method of documentation and billing

Webinar Highlights
  • What changes for NP’s and PA’s did the AMA announce for 2025
  • What are the Split Shared guidelines from CPT for 2024?
  • What are CMS/Medicare’s guidelines for Split Shared visits in 2024?
  • What are the documentation requirements of the supervising physician for incident to services
  • What documentation does the NP/PA need to include in the patient’s record when billing incident to services
  • What locations can NP’s and PA’s utilize for split or shared visits or incident to visits
  • What role can NP’s and PA’s have in surgery and with procedures

Who Should Attend?

Coders, Billers, Auditors, Office Managers, Office Administrators, Nurse Practitioners, Physicians