Physician Billing for “Incident to” and Shared Care Services
From: Jul 24, 2023 - To: Dec 31, 2023
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 will explain the differences and help physician billers correctly report both types of services.
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
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