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Webinar: Billing for NonPhysician Practitioners


Billing for NonPhysician Practitioners: 'Incident To' and Split Shared Services Office, Hospital and Beyond..



Presented by:
Jodi Nayoski, CPC, CPC-I, CCS-P, CHC, CDIP - Pinnacle Enterprise Risk Consulting Services

This presentation will take place on Thursday,October 18, 2018 at 1:00pm Eastern time. 
This is a FREE webinar for all AHIA members! Non-members can join AHIA today to take advantage of this benefit.



Session Description: 
Medicare reimbursement for nonphysician ("NPP") and ancillary services may either be captured at different percentages of the physician fee schedule ("PFS") rate. When billing NPP's services, Medicare's "Incident To" and "Split/Shared" service provisions depending on the setting are also options to consider. These practices can result in rates that are equal to the reimbursement received as if the physician were rendering the services personally. While reimbursement might be more attractive for this practice, there are strict requirements that must be met to justify the additional payment amounts. For those considering 'Incident To' and 'split/Shared' billing practices, this session will provide the history of such concepts and how a hospital or physician office can structure the patient care workflow process to remain compliant with all Medicare requirements. 

Learning Objectives:
Following this discussion, participants will be able to:

  • Compare Incident-to guidelines with split-share guidelines
  • Describe the incident-to guidelines
  • Identify place of service specific guidelines

Program Level:

Field of Study: Specialized Knowledge

Prerequisites: None

Delivery Method: Interactive discussion using telephone and Internet technology.

CPE Credits: 1 credit

Speaker Bio(s):

Jodi Nayoski, CPC, CPC-I, CCS-P, CHC, CDIP - Pinnacle Enterprise Risk Consulting Services 
Jodi brings over 18 years of experience working with various provider types in the healthcare industry. She is a certified coding instructor and an experienced compliance auditor with a background in teaching physician facilities. Jodi's expertise includes implementing large scale compliance plans for physician groups, physician education, compliance auditing, and developing training curriculum. Jodi's coding expertise includes: primary care, urgent care, pediatrics, evaluation and management across all specialties, ICD-9-CM and ICD-10-CM coding. She has managed internal and external ICD-10-CM education implementation, by both developing the curriculum and performing the training. She also managed and performed all provider education, including post audit results, group trainings and health plan risk adjustment. She performs comprehensive professional coding audits for provider groups, academic medical centers and health plans.



Please Note: If you wish to receive continuing professional education credits for participating in the discussion, you are required to register and pay the registration fees. You will also be required to answer 3 of the 4 questions asked online during the discussion to qualify for CPE credit.

Cancellations received in writing prior to a week before the discussion will be issued a refund less a $30 processing fee. No refunds for cancellations within the week of the discussion. For more information regarding refund, complaint and program cancellation policies, please contact AHIA at 888-ASK-AHIA (275-2442).



Continuing Professional Education Credits:
AHIA is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website:

10/18/2018 1:00 PM - 10/18/2020 2:00 PM