Billing for Nurse Practitioner (NP) and Physician Assistant (PA) Services Update!

The AMA’s changes to Office and Other Outpatient Services in 2021 also carried a description of a Split Shared Visit.  This definition did not include direction in several situations that CMS/Medicare felt needed to be defined.  In 2022, CMS/Medicare issued their NEW definition of Split Shared Visits that relied on the billing provider being identified as the one who did a substantive amount of the work for the patient.  In describing substantive, CS/Medicare indicated that the provider that spent the most time with the patient would be classified as the billing provider.  This is not what the AMA Guidelines stated and confusion has reigned ever since.   In allowing for a transition, CMS/Medicare indicated that for 2022, the old method of history, exam and medical decision making could still be used along with the new method.  CMS/Medicate indicated that in 2023, the singular determining factor of which provider would bill a service would be based on time. 

This webinar will cover these concepts in detail, provide an update on where CMS/Medicare weighed in with the Physician Fee Schedule Final Rule and other billing and documentation concepts for Np’s and PA’s.

Webinar Objectives

Defining what Split Shared Visits are for carriers is must know knowledge.  What the position of the AMA is 2023 is for the various locations of Evaluation & Management (E&M) services as we look at other changes to the E&M structure in 2023 can be confusing. 

Current rules from AMA and CMS will be dissected and explained as you look to glean knowledge that will help your practice in its coding, billing and documentation rules.  

Webinar Agenda

• History of Non-physician practitioners and billing
• Definition change to Split Shared visits in the CPT book
• Definition change to Split Shared Visits in CMS/ Medicare rules
• Direct Billing of services of NPs and PAs

Webinar Highlights

• What is the current AMA/CPT definition of Split Shared
• What is the current CMS/Medicare definition of Split Shared
• What services can NP’s and PA’s perform and under what level of supervision
• Documentation tips and tricks for NP and PA services

Who Should Attend

Coders, billers, auditors, office managers, office administrators, Nurse Practitioners and Physician Assistants

Credit(s)

1.5 AAPC CEU