Billing for NPP (Nurse Practitioners & Physician Assistants) in 2022

During the PHE and with Updated Medicare Guidelines and New Split Shared Guidelines

As the physician shortage continues to increase, nurse practitioners & Physician Assistants are looked at more and more as a solution and valuable commodity than ever in practices both primary care and surgical.

During the Public Health Emergency (PHE), supervision requirements have changed per Medicare/CMS rules, allowing them to work even more autonomously. Is your practice fully utilizing your NPP it can? What will happen once the PHE is over? Which of the changes implemented will become permanent?  Each state has a defined Scope of Practice for the NPP. These can be very different from state to state, including allowances for prescriptive authority. Levels of supervision required for differing services need to be identified and followed to remain compliant. Collaborative care agreements can also be a consideration.

The Medicare Physician Fee Schedule Final Rule for 2022, has significant changes for split

The Medicare Physician Fee Schedule Final Rule for 2022 has significant changes in Split Shared billing for 2022, need to be understood at a very detailed level. Compliance with these new policy changes for Medicare and all insurances that follow Medicare rules for these services is a must! The changes to Split Shared services, also affect both Critical Care services and teaching services, so significant learning is needed to make sure your practice plan doesn’t collapse like a house of cards under the weight of an audit! One more question, did Medicare’s policy change to Physician Assistant’s services have any effect on Nurse Practitioner services? Join this webinar by our expert speaker Jill M Young to understand these changes.

Webinar Objectives

• Understanding state scope of practice differences and how to look up yours
• Understanding the significant changes to Split Shared Billing for 2022 and 2023
• Understanding Medicare’s “incident to” billing concept and how it has changed during the PHE
• What documentation is needed to meet the requirements of it
• Understanding Medicare’s concept of direct billing and what that means for the NP or PA
• Understanding why Medicare’s Physician’s Relative Value Fee Schedule Data Base is so valuable
• What payment policies are enacted for Physician Assistant  or a Nurse Practitioner services for differing Medicare services?
• What has all this to do with other commercial insurances?

Webinar Agenda

• State Scope of Practice – What is it?  Where to Find it? How do understand it?
• Introduction to Medicare’s Policy for PA or NP Billing – (payment policies, collaborative agreements)
• What changes were made for NPP services by Medicare in 2022?
• Introduction to Medicare’s policies for Incident to and Direct Billing (supervision requirements)
• Understanding Medicare’s Physician’s Relative Value Fee Schedule DataBase
• Medicare and NPP During the Public Health Emergency (PHE)
• Changes to policies in 2022 (Split Shared Visits, Critical Care, Defining Teaching Services, Diagnostic Testing)

Webinar Highlights

• State Scope of Practice Restrictions
• Incident To and Plan of Care Restrictions
• Direct Billing 
• Levels of Supervision and Temporary Changes during the PHE
• Commercial insurances diverse policies
• Split Shared Changes in 2022

Who Should Attend

• Coders
• Billers
• Officer Manager
• Office Administrators
• Physician Assistants
• Nurse Practitioners