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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
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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
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3. Compliance Issues
• Understanding regulations from different
payers
• Communicating to physician, NPPs, and billing
staff
• Scribes
• Hospital-employed NPPs
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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
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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