Nurse Practitioner and Physician Assistant Billing of Services in Hospital, Facility and Office Locations – Why Does Location Matter?

The concepts of “Split Shared” and “Incident-To” billing for NPs and Pas are well defined.  In looking to CPT and CMS for guidelines, there are great references.  But what are the practical applications in this complex world of provider based billing, private practice and facility billings?  What brief phrases can make all the difference in compliant documentation.  How does location matter and why does the relationship between these Non-physician Practitioners (NPPs) and the physician matter as well.  

KEY LEARNING OBJECTIVES: 

Location – Defining each and what billing concepts apply Split Shared and Incident To – What are they and what documentation is needed for each

TARGET AUDIENCE: 

• Coders
• Billers
• Auditors
• Office managers
• Nurse Practitioners and Physician Assistants         

MAIN POINTS TO BE COVERED:

• Split shared – defining the care, documentation of it and which locations is this applicable to 
• Incident to – defining the care, documentation of it and which locations is this applicable to
• Locations – defining them
• Time – when can time be used in selecting the level of service
• Restrictions – which services cannot be performed via these two concepts