Incident To Services by NPPs and Compliance with Its Coding and Reimbursement Requirements

Presenter : Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS
Event Date : 04/10/2019
Time: All Day Long
Duration : 90 minutes



Product Description

Non Physician practitioners (NPPs) includes physician’s assistants, nurse practitioners, and clinical nurse specialists who practice either with or under the supervision of physicians. They are playing an important role in hospitals and physician practices, yet many practices are not aware that non-compliant billing increase the risk for denials and fraud. While billing for the services provided by NPP, physician must supervise the services provided by the NPP and also they should verify the scope and place of the service. The Office of Inspector General(OIG) continues to keep NPPs and incident-to services on their Work Plan as these services may be “vulnerable to overutilization and expose Medicare beneficiaries to standard of care that does not meet professional standards of quality”.

Through this webinar you will get the most up to date information on how to properly bill and submit services rendered by NPPs such as Nurse Practitioners and Physician Assistants. Our expert will also address the common risk areas for NPPs, Incident-to and shared visits and the different billing options and documentation requirements.

Learning Objectives:

  • Understand the common risk areas for NPPs, Incident-to and shared visits
  • Understand the different billing options and documentation requirements for the office and hospital setting
  • Review audit considerations and audit tools to monitor compliance

Areas Covered in the Session:

  • Non Physician Practitioners Overview
  • NPPs rules for Medicare “Incident to”
  • Billing health plans for NPPs
  • Billing for Shared Visits
  • Reimbursement for Non Physician Practitioners
  • Billing options and documentation requirement for office or hospital setting
  • Audit considerations and audit tools to monitor compliance
  • Current examples and Case studies
  • Live Q&A Session
Related Courses:

Suggested Attendees

  • Coding Personnel
  • Billing and Claims Transaction Personnel
  • Chargemaster Coordinators
  • Clinic Managers
  • Financial Analysts
  • Compliance Officers
  • Nurse Practitioners
  • Physician’s Assistants
  • Clinical Nurse Specialist
  • Chief Medical Officers

About the Presenter:

Elin Baklid-Kunz, MBA, CHC, CPC, CPMA, CCS is an expert in medical coding compliance who supports clients in matter across the United States with over 20 years of experience in the field. Ms. Kunz is a national speaker and published author. Recent speaking engagements include the 2018 European Symposium on Ethics and Governance in Paris for the Organization of Economic Cooperation and Development; American Bar Association 2018 Physician Legal Issues Conference,  2017 American Health Information Management Association National Conference; 2016-2008 American Academy of Professional Coders Coding & Compliance workshops; 2018-2009 keynote presentations for Eli Research Coding Institute & Audio Educator.

In addition to teaching documentation guidelines and ICD-10 to physicians, Ms. Kunz’ experience includes six years as an adjunct professor and curriculum developer at Seminole State College where she taught courses pertaining to healthcare reimbursement and data analysis and served on the advisory committee for the health information management (HIM) program.

Ms. Kunz earned her master’s degree in business administration from Stetson University where she currently serves as Head Judge for the Southeast Regional Business Ethics Case Competition.  She is certified in Healthcare Compliance.  She is a Certified Professional Coder; a Certified Professional Medical Auditor; a Certified Coding Specialist and an American Health Information Management Association-Approved ICD-10-CM/PCS Trainer.

Ms. Kunz has enormous practical and personal experience with serious compliance issues.  She was the Director of Physician Services for Halifax Health in Daytona Beach, Florida until she discovered Medicare fraud being perpetrated by the Hospital and worked with federal authorities to stop it. In 2014, Halifax settled the matter with the U.S. Department of Justice by repaying to Medicare $86 million.  Ms. Kunz’s extraordinary efforts to ensure compliance resulted in her being awarded the 2014 Taxpayers Against Fraud Whistleblower of the Year award.

After Registration

You will receive an email with login information and handouts (presentation slides) 1 day before the live event that you can print and share to all participants at your location.

System Requirement

Operating System: Windows any version preferably above Windows Vista & Mac any version above OS X 10.6
Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live?
No problem. You can get access to On-Demand webinar. Use it as a training tool at your convenience.

For more information you can reach out to below contact:
Toll-Free No: 1-302-444-0162
Email: support@skillacquire.us

You can also use the order form for making orders. Click here to download.