tci Medicare Compliance & Reimbursement - 2018 Issue 18

Part B Reimbursement: One MAC Eases Up on Some NPP E/M Service Rules

NGS Medicare changes claim filing process for NPs, PAs. As CMS continues to chip away at administrative burdens with its “Patients Over Paperwork” initiatives, one Medicare Administrative Contractor (MAC) aims to streamline same-day E/M claims for nonphysician practitioners (NPPs), making provider services more efficient and effective. Context: If advanced practice providers are part of your staff, your practice claims submission process may catch a break. NGS Medicare offered up new guidelines, which the Part B MAC put into effect on Sept. 15. NGS instituted a new step when NPPs see the same patient twice on the same day...

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