Billing for Nurse Practitioners in 2022 – During the PHE and with New Split Shared Guidelines

As the physician shortage continues to increase, nurse practitioners are looked at more and more as a solution and valuable commodity as alternative providers. Observational studies have shown that patients often prefer Nurse Practitioners to Physicians in a Primary Care setting.

These individuals who were highly trained nurses, chose to receive additional training to become nurse practitioners (NP). State Scope of Practice defines what they can do which is not pandemic public health emergency (PHR) times. In some states, prescriptive authority is an issue, in other states the level of supervision for patient care is higher than published Medicare standards. Knowing what your State requirements are is a must as a foundation for the knowledge you need to build your compliant practice plan for the use of your Nurse Practitioner. Other factors in building (or evaluating your practice plan include how to utilize NP’s in differing healthcare settings and analyzing the varying levels of supervision required at these locations. Collaborative Care agreements also need to be in writing and analyzed and updated periodically, especially with any practice or job description changes.

Lastly, the significant changes in Split Shared billing for 2022, need to be understood at a very detailed level. Compliance with these new policy changes for Medicare and all insurances that follow Medicare rules for these services is a must! The changes to Split Shared services, also affect both Critical Care services and teaching services, so significant learning is needed to make sure your practice plan doesn’t collapse like a house of cards under the weight of an audit! One more question, did Medicare’s policy change to Physician Assistant’s services have any effect on Nurse Practitioner services? Join this webinar by our expert speaker Jill M Young to understand these changes.

Webinar Objectives

Understanding state scope of practice differences and how to look up yours
Understanding Medicare’s “incident to” billing concept and how it has changed during the PHE
What documentation is needed to meet the requirements of it
Understanding Medicare’s concept of direct billing and what that means for the NP
Understanding why Medicare’s Physician’s Relative Value Fee Schedule Data Base is so valuable
Understanding what payment policies are for Nurse Practitioners
Understanding the significant changes to Split Shared Billing for 2022
What has all this to do with other commercial insurances?

Webinar Agenda

State Scope of Practice – What is it? Where to Find it? How do understand it?
Introduction to Medicare’s Policy for Nurse Practitioner’s Billing – (payment policies, collaborative agreements)
Introduction to Medicare’s policies for Incident to and Direct Billing (supervision requirements)
Understanding Medicare’s Physician’s Relative Value Fee Schedule DataBase
Medicare and Nurse Practitioners During the Public Health Emergency (PHE)
Changes to policies in 2022 (Split Shared Visits, Critical Care, Defining Teaching Services, Diagnostic Testing. Changes to Physician Assistant’s Services)