decisionhealth Newsletters, decisionhealth - 2011 Issue 6 (June)
Primary Care RoundUp: NPPs can perform wellness visits while the physician bills for them
Subscribe or sign in to view the full article.
Article Overview
This article summarizes CMS guidance affecting primary care billing for Medicare annual wellness visits when services are performed by non-physician practitioners under physician supervision. It is relevant to physicians, practice managers, coders, and billing staff who need to understand how Medicare payment and supervision concepts apply to preventive visit workflows. The discussion focuses on CMS clarification from the 2011 Medicare Physician Fee Schedule and the relationship between wellness visits and incident-to concepts.
Why This Topic Matters
It helps practices understand Medicare payment and supervision treatment for preventive wellness visits, reducing confusion about who may bill and under what general framework.
What You Will Learn
- How CMS distinguishes annual wellness visits from incident-to billing concepts
- Why physician supervision affects Medicare billing for wellness visits
- What the 2011 Medicare Physician Fee Schedule says about these services
- How payment differs when a non-physician practitioner performs the visit
Who Should Read This
- Physicians
- Primary care practices
- Practice managers
- Medical coders
- Billing staff
- Non-physician practitioners
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com