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PA and APRN Reimbursement: Rules, Revenue and ROI

  • Tuesday, November 14, 2017
  • 7:30 AM - 11:00 AM

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PA and APRN Reimbursement: Rules, Revenue and ROI

This program has been reviewed and is approved for a maximum of 3 hour of AAPA Category 1 CME credits by the Physician Assistant Review Panel. Physician assistants should claim only those hours actually spent participating in the CME activity.




If you have been confused by the regulatory and policy requirements unique to PA and APRN reimbursement in either a hospital or office setting please join us for a presentation by national expert Mr. Michael Powe, Vice President of Reimbursement and Professional Advocacy for the American Academy of Physician Assistants, 


November 14, 2017

7:30 am – 11:00 am

Providence Marriott
1 Orms St.
Providence, RI 02906



Agenda

7:30am  Registration, Networking & Continental Breakfast

8:30am Program

  •  Reduce exposure to fraud and abuse allegations
  • Office-based reimbursement:
  • When is an office/clinic not really an office/clinic?
    • Billing under the PA/APRN or the physician – what makes sense?
    • Understanding “incident to” billing - when it can and can’t be used
    • Enrolling and credentialing with Medicare, Medicaid and commercial payers 
    • Definition of collaboration-what it does and doesn’t mean
    • Maximizing revenue - how practices can potentially increase revenue when billing under the PA/APRN

9:15am Break

9:30am Program

  • Understanding PA productivity, utilization and contributions

  • PAs/APRNs and the transition to value based care

  •  Hospital-based reimbursement:
  • Review of hospital billing policies
  • Shared visit billing – understanding all the requirements
  • PA/APRN responsibilities admission orders, admit H&Ps and discharge summaries
  • Credentialing/privileging – comparing Mediare’s rules to your hospital’s policies
  • Statutes, regulations and payer policies – which rules to follow?




Objectives

At the conclusion of this session attendees will be able to:

  •  Explain the regulatory and coverage policy requirements for PA and APRN reimbursement in clinics, hospitals and hospital-owned facilities.
  • Identify the unique rules surrounding “incident to” and shared visit billing.
  •  Describe the components of delivery system change that will impact PAs and other health professionals as payment systems transition to value-based reimbursement.  
  •  Evaluate PA/APRN productivity in both economic and non-economic terms, and demonstrate their contribution to increased practice efficiency.
  • Discuss how to reduce the possibility of fraud and abuse audits.



Target Audience

The target audience for this practice managers and administrators, billing managers, PAs, APRNs, Physicians. 

Speaker

Michael L. Powe,
Vice President Reimbursement and Professional
Advocacy 

 American Academy of Physician Assistants



Accreditation

This program has been reviewed and is approved for a maximum of 3 hour of AAPA Category 1 CME credits by the Physician Assistant Review Panel. Physician assistants should claim only those hours actually spent participating in the CME activity.


APRNs may  claim AAPA Category 1 CME credit as continuing education with AANP and ANCC. RIAPA recommends APRNs check with their certification/licensing authority to confirm that AAPA credit is acceptable.



Thank you to our exhibitors for your continued support 






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