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Physician Billing for “Incident to” and Shared Care Services

Presented by Jan Rasmussen
Duration - 60 Minutes

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Description

The incident has been around for many years whereas shared care is a more recent CMS billing opportunity. Many physician offices are confused as to the correct way to bill these types of services and how they differ. Recent CMS changes to their shared care policy have added to the confusion. Reduce the risk for audits paybacks and possibly by billing correctly. Findings of incorrect billing on a payer audit can lead to future pre and post-payment reviews which contribute to delays in reimbursement. This Webinar titled “Physician Billing for “Incident to” and Shared Care Services” will explain the differences and help physician billers correctly report both types of services. 

Speaker

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Jan Rasmussen, PCS, ACS-OB, ACS-GI, – As a health care consultant Jan has more than 45 years of experience in physician billing, reimbursement, and compliance. Jan is currently the owner of Professional Coding Solutions, a healthcare consulting firm. She has been a Certified Professional Coder (CPC) since 1992. As a member... Read more

Learning Objectives

  • Define  “incident to” services and correct use
  • Define shared care services and correct use
  • Correctly report the applicable place of service codes for both services
  • Identify professionals that may fall under the incident to services policy 
  • Understand the difference between supervision versus incident.
  • Review changes to supervision of incidents to services when the public health emergency (PHE) Ended
  • Identify services that may qualify for split shared care.
  • Know the reimbursement implications when billing these services.
  • Know what to look for when auditing these types of services
  • Do private payers follow these rules

Areas Covered

  • Incident to policies
  • Shared care policies
  • Supervision policies
  • Provider eligibility
  • Recent changes to the incident and shared care services
  • Private payer interpretations of CMS policies 
  • Reimbursement considerations

Background

Incident to and shared care are specific Medicare billing policies. Some other payers may follow these rules also.

Who Should Attend

  • Providers
  • Coders
  • Clinic managers
  • Denial management staff
  • Accounts payable staff
  • Auditors