Billing for Advanced Practice Providers - Afternoon Session-PMI

Billing for Advanced Practice Providers

Reduce your audit risk and ensure compliant billing procedures for advanced practice provider (APP) services. This comprehensive course reviews Medicare and third-party payer guidelines for incident-to, shared/split, and APP billing, with practical guidance on documentation requirements, code selection, reimbursement rules, and complex billing situations. Participants will gain a stronger understanding of provider roles, scope of practice, and compliance requirements to support accurate claims submission and reduce under-coding and audit exposure.

Topics include:

• Incident-to, shared/split, and APP billing requirements for Medicare, Medicaid, and private payers

• Documentation standards, E/M coding guidelines, code selection, and reimbursement considerations for provider-based and office-based settings

• Scope of practice and billing guidance for APPs, NPs, PAs, RNs, CNMs, and CRNAs, including compliance topics such as the False Claims Act, Stark Law, Anti-Kickback Statute, and fraudulent claims prevention

Ideal for billing professionals, coders, practice managers, compliance staff, and healthcare organizations working with APP reimbursement and Medicare billing requirements.

Digital materials are provided. Registrants will receive an email with a link to download the materials approximately 2 days before the training event.

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