Physician and NPP Split/Shared Billing: Compliance, Reimbursement and Physician Compensation Challenges
Recording of a 90-minute CLE video webinar with Q&A
This CLE webinar will guide healthcare counsel on the use of nonphysician practitioners (NPPs) and the associated issues. The panel will address the 2022 Medicare Physician Fee Schedule (MPFS) guidance on split/shared billing. The panel will also discuss compliance and documentation considerations as well as physician compensation considerations. The panel will offer best practices for mitigating risk when using NPPs.
Outline
- Use of NPPs: trends
- 2022 MPFS guidance and Medicare requirements
- Split/shared care
- Substantive portion of the visit
- Documentation
- Physician compensation considerations
- Best practices
Benefits
The panel will review these and other key issues:
- What are the split/shared documentation requirements?
- How does the use of NPPs impact the Stark employment exception for services personally performed by the physician?
- What best practices should healthcare providers and their counsel employ when using NPPs to ensure Medicare and regulatory compliance?
Faculty
Keith Dugger
Office Managing Partner
Hall Render Killian Heath & Lyman
Mr. Dugger provides clients with effective and practical counsel informed by the various environments in which he has... | Read More
Mr. Dugger provides clients with effective and practical counsel informed by the various environments in which he has practiced. With more than 20 years of experience, he has a proven ability to achieve positive results within the highly regulated health care industry.
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Delena S. Howard
Advisor
Hall Render Killian Heath & Lyman
With more than 25 years of experience in healthcare documentation and revenue cycles, Ms. Howard possesses a deep... | Read More
With more than 25 years of experience in healthcare documentation and revenue cycles, Ms. Howard possesses a deep understanding of the intricacies of healthcare coding compliance and documentation. She regularly performs coding, billing and revenue cycle reviews to ensure accuracy and compliance for clients. Working with hospital systems and physician practices of all sizes, these reviews have included evaluation and management, inpatient and outpatient ambulatory services. Additionally, Ms. Howard has worked on corporate integrity agreements and self-disclosure projects, as well as performing as an expert witness in criminal fraud defense.
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Lori A. Wink
Attorney
Hall Render Killian Heath & Lyman
Ms. Wink assists clients in the analysis of general health law matters and regulatory issues, including accreditation,... | Read More
Ms. Wink assists clients in the analysis of general health law matters and regulatory issues, including accreditation, certification, licensure, billing and payment, compliance, Medicare appeals, fraud and abuse and Stark. She advises a variety of healthcare clients including healthcare systems, hospitals, group practices, diagnostic centers and long-term care facilities. Ms. Wink chairs the Medicare Issues Committee for the Wisconsin chapter of the Healthcare Financial Management Association and is a frequent speaker on regulatory issues. Prior to practicing law, she was a manager in the audit department of KPMG and was a member of KPMG's Healthcare Practice Group.
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