CMS/Medicare and CPT have been in different places with their definition of "substantive portion" for a split shared visit. It was anticipated that in 2024 CMS/Medicare would again have a different way of looking at which provider can bill this type of joint service when done in a facility setting. The PFS Final rule surprised many as CMS/Medicare said they would be following the new clarified policy set forth in CPT's 2024 code book. What is this new definitions of "substantive portion" and what does it mean for your NPs and PAs working in the hospital and other facility based locations? Listen in and learn. Bring your questions with you
The rules of billing for Nurse Practitioners and Physician Assistants can be confusing and challenging. Each payer can have their own definitions for direct and indirect billing of their services. Comparing these rules reveals a diverse and oft times confusing list of what compliant billing of these provider’s indirect services entails.
CMS has been transitioning their definition of split/shared visits for the past few years in calling for a substantive portion of the work to be done by the billing provider while allowing an alternative definition. Although this has been extended until the end of 2024, CPT®’s new definition causes much discussion on where their rules would fall into place with CMS'.
Webinar Objectives
Compliant billing of Non-physician Practitioners (NPPs) is no easy task. Dealing with differing sets of payer rules can give coders and billers fits. This session is intended not only to present a simplified view of NPP billing, but also to show how the updated guidelines CPT® has defined will integrate into this landscape.
Webinar Agenda
2024 CPT® updates to split shared billing. what we know today about this new definition from the AMA and how they see the day-to-day documentation changes needed to meet it.
Split shared billing’s definition from CMS’ perspective. What challenges are presented in the differing words of each
Webinar Highlights
- The new guidelines for split shared visit found in CPT® 2024
- CMS’ guidelines for split shared in2024
- CMS’ guidelines for incident to
- Other payers’ rules and regulations for Non-Physician Practitioner billing
Who Should Attend
Coders, billers, office managers, office administrators, Nurse Practitioners, Physician Assistants
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