Medicare and many other payers draw a distinction between services that are billed by a mid-level practitioner working independently and those billed “incident to” a physician visit..
Durham, NC (PRWEB) February 03, 2016
AudioEducator will host an Audio Conference presented by noted expert speaker Barbara J. Cobuzzion MBA, CPC, COC titled “Coding and Billing for Mid-Level Providers” on Thursday, February 11, 2016. This event will try and clarify some complex issues related to coding and billing for mid-level providers.
Whether mid-level practitioners will pay for themselves or even make money for your practice depends not only on how productive they are, but also on how your payers reimburse for mid-level services. Because reimbursement policies vary among payers and sometimes include differing billing requirements for physician assistant and nurse practitioners, it’s difficult to generalize. It's vital to check each payer's policy individually. The eventuality of something going wrong could mean dire consequences for your practice. The last thing a practice wants is to spark an audit because of failure to master the details for billing a new service.
Medicare and many other payers draw a distinction between services that are billed by a mid-level practitioner working independently and those billed “incident to” a physician visit. Independent visits—that is, those made to a mid-level practitioner but not to a physician—are reimbursed at a lower rate, often 85% of the normal rate for a physician visit. “Incident to” visits are billed at the same rate as a physician visit. If a physician is on the premises when the mid-level practitioner sees the patient, and is available for consulting, the physician may not actually have to see the patient for the visit to be billed “incident to,” although the physician may need to document the visit and the treatment plan, rather than having the mid-level practitioner do so.
To get a clear perspective to the changing coding and billing rules involving mid-level providers join this edifying conference by expert speaker Barbara J. Cobuzzi. During this conference guidelines on how Medicare is addressing the changing supervision rules for Mid-Level providers in the proposed rule for 2016 fee schedule is also discussed. You will also get to know the contribution of Medicare for 2016 with the introduction of the final rule. For any practice utilizing or considering hiring mid-level providers, this information will prove extremely vital. Failure to do so will invite risk of not meeting compliance standards
For more information visit: http://www.audioeducator.com/medical-coding-billing/coding-billing-mid-level-providers-02-11-2016.html
AudioEducator is the country’s leading source of knowledge and training for professionals in Medical Coding and Billing. Our healthcare conferences and webinars are conducted by nationally renowned experts, consultants and legal experts who provide a fresh perspective on healthcare issues and trends. AudioEducator offers important updates, regulatory knowledge and com information on the latest coding and billing news in various medical specialties. It has provided thousands of healthcare professionals the opportunity to get answers to their most complex questions directly from experts. To know more visit: http://www.Audioeducator.com/