Cardiovascular Essentials for Advanced Practice Providers-APP Coding, Documentation, and Reimbursement

Video Transcription

Video Summary

The video discussed APP coding, documentation, and reimbursement. The speaker, Nicole Knight, is the director of MedAxium Revenue Cycle Solutions and a senior consultant. She began by stating that the presentation is intended for general information purposes and does not constitute legal advice. APPs, or Advanced Practice Practitioners, are a common term in the cardiovascular field for physician assistants (PAs) and nurse practitioners (NPs). Medicare, referred to as CMS (Center for Medicare and Medicaid Services), recognizes APPs as NPPs (non-physician practitioners). Medicare guidelines reimburse providers as Part B providers, and specific recognized provider types, such as PAs and NPs, can obtain a Medicare billing number. NPs have a specialty code of 50, while PAs have a specialty code of 97. From a reimbursement standpoint, there are different billing options for NPPs, including obtaining their own provider number or billing an incident to service under a supervising physician. Split shared visits, where both the NPP and physician each perform a portion of an evaluation and management visit, are applicable in hospital settings. Private payers may have different rules regarding billing for NPP services. Signature requirements for documentation were also discussed, including acceptable electronic signature statements. The video concluded with references for more information on the topics discussed.

Keywords

APP coding

reimbursement

NPPs

Medicare

billing options

signature requirements

electronic signature statements