Incident to and shared care are specific CMS/Medicare billing policies. Some other payers may follow these rules also.
“Incident to” reporting for QHP and physician services 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. CMS changes to their shared care policy has added to the confusion.
This Webinar will explain the differences in the services and help physician coders and billers to correctly report both types of services.
Why should you attend :
Reduce the possible risk for audits and paybacks by billing correctly. Findings of incorrect billing on a payer audit can lead to future pre and post payment reviews which can contribute to delays in reimbursement.
Areas covered in the session:
Who should attend this:
Jan Rasmussen, PCS, ACS-OB, ACS-GI, ACS-GS- As a health care consultant Jan has more than 40 years of experience in physician billing, reimbursement and compliance. Jan is currently the owner of Professional Coding Solutions, a healthcare consulting firm. She has been a Certified Professional Coder (CPC) since 1992 with active membership in the American Academy of Procedural Coders (AAPC). As a member of the AAPC, Jan previously served on their Advisory Board as the liaison to the AMA, has been a speaker for the AAPC annual conference as well as contributing to the development of AAPC’s independent study and university education programs and proficiency tests. In 1994, she was honored by AAPC as Networker of the Year. Jan was also a Regional Governor for the American College of Medical Coding Specialists (ACMCS) serving as Chair of the Ethics committee and a member of the Examination committee.
In her role as a physician consultant, she has participated in physician coding and documentation reviews including OIG government PATH and Champus audits, designed and conducted physician coding seminars nationwide. She has been a guest speaker for several conferences sponsored by United Communications, Inc//Decision Health, ACOG, AAPC as well as Coding Institute Specialty Conferences.
In previous consulting positions she was responsible for developing and conducting seminars for basic, intermediate and advanced ICD-9-CM and CPT, teaching physician guidelines as well as specialty seminars for OB/Gyn, Orthopedics, Urology, Gastroenterology, General Surgery, ENT, Cardiology, Emergency Medicine and Evaluation and Management. In here role as an educator she has been teaching E/M documentation and auditing to both physician and coding audiences since 1992 when RBRVS was first implemented.
Jan has also worked for several major health insurance payers in Wisconsin, was a coding advisor to the WPS Medicare Carrier Advisory Committee and served as the coding and reimbursement coordinator for a 37 provider, staff model HMO clinic. As the coding and reimbursement coordinator, Jan was responsible for physician office, hospital, surgical and nursing facility coding, charge ticket development, fee development, reimbursement analysis, claims analysis and physician education.
