Navigating the complexities of billing rules for Nurse Practitioners (NPs) and Physician Assistants (PAs) can be a daunting task, with each payer presenting its own set of definitions for both direct and indirect billing of services. The divergent rules create a landscape of compliance that is often intricate and perplexing, particularly when it comes to billing for the indirect services of these healthcare providers.
Over the past few years, the Centers for Medicare & Medicaid Services (CMS) has undergone a transition in its definition of split/shared visits, emphasizing the need for a substantive portion of the work to be performed by the billing provider. While this transition has been extended until the end of 2024, the new definition introduced by the Current Procedural Terminology (CPT®) code book has sparked considerable debate regarding its alignment with CMS' regulations.
The disparity between CMS/Medicare and CPT in their interpretation of a "substantive portion" for split shared visits has been apparent. Anticipations for 2024 suggested that CMS/Medicare would again diverge in their approach to determining which provider can bill for joint services in a facility setting. However, the surprise came with the Final Rule from the Physician Fee Schedule (PFS), where CMS/Medicare announced their alignment with CPT's clarified policy in the 2024 code book.
This webinar aims to dissect the new definitions of a "substantive portion" outlined by CPT and explore their implications for NPs and PAs operating in hospital and other facility-based settings. Join us to gain insights into the evolving landscape of billing regulations, and feel free to bring your questions for a comprehensive discussion on these critical topics.
Webinar Objectives
By the end of this webinar, participants will acquire a thorough understanding of the complexities surrounding compliant billing for Non-physician Practitioners (NPPs), particularly Nurse Practitioners (NPs) and Physician Assistants (PAs). The session aims to:
Webinar Highlights
Who Should Attend
Coders, billers, office managers, office administrators, Nurse Practitioners, Physician Assistants
Date | Conferences | Duration | Price | |
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Jun 10, 2025 | Documentation of an E&M Office Visit – 5 Things Needed for a Good Note | 60 Mins | $199.00 | |
Jun 05, 2025 | Documentation – A Provider’s Responsibility for Originality | 60 Mins | $199.00 | |
Apr 17, 2025 | When Minutes Matter – How Carriers Define E&M Code Minutes Differently! | 60 Mins | $179.00 | |
Apr 06, 2025 | 2025 Survival Guide: A Comprehensive Bootcamp for Medical Offices & Multispecialty Teams | 660 Mins | $499.00 | |
Apr 03, 2025 | Auditing E/M Visits in 2025: Mastering the MDM Grid and Time-Based Guidelines | 60 Mins | $179.00 | |
Mar 13, 2025 | Observation Services – Practical Application to CPT’s Changes | 60 Mins | $199.00 | |
Feb 13, 2025 | Physician Assistant Billing in 2025: Navigating Post-PHE Rules and Split-Shared Guidelines | 60 Mins | $199.00 |