OAPP Grand Rounds - ADVANCED PRACTICE PROVIDER BILLING UPDATE
Those who provide services and submit claims are responsible for following rules, however, billing and reimbursement rules can change and are subject to interpretation, therefore, payer policies may be unclear. Just because a payer has been reimbursing for a service, does not mean billing was done appropriately. Most payers conduct pre- and post- payment audits, so it's important to get the facts and ask for policies and regulations in writing. This training will explore the billing and reimbursement rules.
- Advanced Practice Registered Nurses (APRNS)
- Certified Registered Nurse Anesthetists (CRNAs)
- Certified Registered Nurse Practitioners (CRNPs)
- Certified Nurse Midwives (CNMs)
- Clinical Nurse Specialists (CNSs)
- Physician Assistants (PAs)
Upon completion of this activity, participants should be able to:
- Recall billing and documentation requirements to increase compliance with Medicare policy.
- Identify Medicare's new split (or shared) billing policy.
- Identify Medicare “incident to” requirements.
- Recall telehealth and telemedicine key principles.
- Deb Byrns, CRNP - Acute Care Nurse Practitioner, UPMC
- Aimee Smith, MS, PA-C, Emergency Medicine, UPMC
- Sondra DePalma, DHSc, PA-C, Cardiology, UPMC
Conflict of Interest Disclosure:
No planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.
In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician Assistant (AAPA)
The University of Pittsburgh has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1 AAPA Category 1 CME credit. PAs should only claim credit commensurate with the extent of their participation.
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.0 contact hour.
No members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients to disclose.
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
- 1.00 AAPA Category I CME
- 1.00 ANCCUPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
- 1.00 Attendance
The educational content for this course is posted on Winter Institute for Simulation, Education, and Research - WISER (pitt.edu) website. This site should be used by those seeking to earn credits and obtain a certificate by completing the evaluation for this training.
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