Betsy Nicoletti

Medical Coding and Compliance Expert, Speaker, Educator, and Auditor

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Medicare Rules for Incident-To Billing and Shared Services

This one hour presentation is for clinicians, managers and coding and billing staff, and is presented in person or by audio feed.

Description:
Incident-to services appear on the OIG Work Plan year after year. The stakes are high for the practice in terms of revenue and compliance. Ask around the office, and there is often significant disagreement over the Medicare rules for these services, including in what setting each can be provided. This audio will provide definitive answers about billing for Non-Physician Practitioners incident-to or as shared services.

Agenda:

  • Definition of Non-Physician Practitioners, incident to services and shared services
  • Importance of place of service
  • Nurse visits
  • Special rules relating to consults, critical care and new patient visits
  • Documentation requirements

Learning Objectives:

  • Differentiate between when to bill for the NPPs services under the MD versus the NPP provider number
  • Distinguish between incident to shared services rules

CEUs:
Can be applied for with 45 days notice

Filed Under: Presentations

Email: support@betsynicoletti.com

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“My organization approached Betsy Nicoletti because we had providers failing coding audits.

Betsy’s name is out there in the coding world as a leader in the field and wanted the best for our providers.

Betsy works with the organization to set up webinars for our new provider on boarding training process (which according to them has been most beneficial), as well as subsequent auditing to ensure provider engagement and understanding.

Betsy’s one on one approach has helped the organization overall by the specialized attention to our specific needs.

I appreciate Betsy’s tactful approach with the providers to lessen their concerns as it relates to proper coding. She is up to date on all of the current changes in coding and maintains the communication whenever warranted.

Overall I have found the experience of working with Betsy as positive and educational. I would not hesitate to recommend Betsy to any organization that needs to improve their coding practices and improve success rates from outside auditing.”

Julie D., LPN
Clinical Performance/Operations Manager

• Develop agenda with Betsy*
• Betsy will customize presentation and prepare learning materials
• 90 minute Zoom, live education session
• 30 days Q&A follow up
• Recording of session to show new hires
• Interactive: everyone hears the same thing and can ask questions

*Betsy’s area of expertise doesn’t include all procedural coding – email to set up a time to discuss your needs