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Non-Physician Practitioners in General Surgery -
What Can They Do and How Can We Bill?
Presenter
Kim Garner-Huey
Follow us :
In the United States, there are approximately 150,000 practicing and
licensed non-physician practitioners (NPPs) and about half of them work
in general surgery or surgical sub-specialties.
NPP Coding and Billing
• Definitions
• Compliance Issues
• Medicare
– Incident-to
– Split/Shared
• Other Payers
• Red Flags
• Special Issues with Hospital-Employed NPPs
• Options
2
Compliance Issues
• Understanding regulations from different
payers
• Communicating to physician, NPPs, and billing
staff
• Scribes
• Hospital-employed NPPs
3
Non-Physician Practitioners
• Nurse Practitioner (APN, APRN, CNP, etc.)
• Clinical Nurse Specialist
• Certified Nurse Midwife
• Physician’s Assistant
Different rules for different insurers – must pay
attention to the patient’s insurance when
deciding how to utilize and bill for these
providers
4
To see the complete presentation check the
below link:
http://www.audioeducator.com/hospitals-and-health-systems/npps-in-general-
surgery-08-27-14.html

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Non-Physician Practitioners in General Surgery - What Can They Do and How Can We Bill?

  • 1. Non-Physician Practitioners in General Surgery - What Can They Do and How Can We Bill? Presenter Kim Garner-Huey Follow us : In the United States, there are approximately 150,000 practicing and licensed non-physician practitioners (NPPs) and about half of them work in general surgery or surgical sub-specialties.
  • 2. NPP Coding and Billing • Definitions • Compliance Issues • Medicare – Incident-to – Split/Shared • Other Payers • Red Flags • Special Issues with Hospital-Employed NPPs • Options 2
  • 3. Compliance Issues • Understanding regulations from different payers • Communicating to physician, NPPs, and billing staff • Scribes • Hospital-employed NPPs 3
  • 4. Non-Physician Practitioners • Nurse Practitioner (APN, APRN, CNP, etc.) • Clinical Nurse Specialist • Certified Nurse Midwife • Physician’s Assistant Different rules for different insurers – must pay attention to the patient’s insurance when deciding how to utilize and bill for these providers 4
  • 5. To see the complete presentation check the below link: http://www.audioeducator.com/hospitals-and-health-systems/npps-in-general- surgery-08-27-14.html