About the Course
Published June 11, 2019
Medicare reimbursement for nonphysician (“NPP”) and ancillary services may 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 presentation 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. The presentation will also address all too common weaknesses or misses in the industry that have been the focus of government investigations into non-compliant practices.
Jodi Nayoski CPC, CCS-P, CHC, CDIP
Jodi brings over 19 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.
Purchase the Course
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AHIMA Members: $15
Access to the Course
You will have 60 days to access the course after payment has been received.
On demand webinars are non-refundable.