Decoding NPP Billing Requirements: A Roadmap to Compliance in 2024 and Beyond

Healthcare Compliance Webinar

Robyn Johns

Featuring
Robyn Johns
Med USA Compliance Officer

Billing for non-physician practitioners (NPPs) like Nurse Practitioners (NP) and Physician Assistants (PA) can be complicated and fraught with risk. CMS continues to transition its definition of split/shared services for NPP care in a facility setting with the 2024 Medicare PFS. For office-based services, CMS established the definition of “Incident to” billing and many other payers followed suit. However, each payer can and often does have its own guidelines for how they want to see NPP services billed. And to top it off, both the OIG and state Attorneys General continue to bring enforcement actions against providers for doing it incorrectly.

How can providers be expected to keep track of all the different rules and changing requirements to ensure compliant billing? NPPs are an integral part of providing attentive, compassionate, and effective care to your patients. Billing for their services can be both simple and profitable when you know how.

Robyn Johns, Compliance Officer at Med USA, breaks down complex requirements into clear and understandable elements to easily apply in your practice, such as:

  • Requirements of both split/shared services and “Incident to” billing
  • Best practices for safe, straightforward, and compliant NPP billing
  • How to streamline billing workflows, documentation, and payer contracting

Help your practice guarantee NPP billing compliance by watching this webinar.

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I have had a great experience working with Med USA. They are always willing to go the extra mile when I need help. They have made our billing processes seamless and helped us earn more revenue than ever before.

Med USA has an experienced team of knowledgeable people dedicated to our account. They are attentive and quick to follow-up when we have questions or concerns. After working with other billing companies, we feel fortunate to have a partnership with Med USA.

Med USA’s team is highly knowledgeable and always pleasant to work with. If you want the full attention of a company with knowledgeable expertise on the revenue cycle management process, I highly recommend Med USA.

We have been using Med USA as our billing service for several years now and it has been one of the best business decisions we’ve made. Not only have our revenues significantly improved, but Med USA is always looking out for our best interests.

I am confident Med USA is helping me collect every dollar possible. Having transparent access to our data has allowed me to have greater confidence in predicting our current and future revenue stream. I would highly recommend Med USA.

We have found Med USA to be a very professional company. They are easy to communicate with, honest, and reliable. They keep an eye on local and federal regulations and help us stay current in the ever-changing healthcare environment.

We have been clients of Med USA for over 43 years and are very satisfied with the service we’ve received. With their transparent processes and the access to data they provide, we have consistently seen increases in our cash flow and revenue since partnering with Med USA.