PA and NP Billing Update for Orthopaedics

CMS made significant changes to its non-physician provider (NPP) billing rules in 2022. Dive into the intricacies of incident to, direct, and split/shared billing for Medicare claims, with a focus on applying the new CMS criteria.

This 1-hour on-demand course analyzes the NPP billing options for Medicare, with a detailed look at changes effective in 2022 that apply in orthopaedic practices.

In this session you will:

  • Refresh your understanding of the definitions and criteria for incident to, direct, and split/shared billing.
  • Compare CMS’s previous rules for split/shared reporting with what’s new in 2022.
  • Learn about a new modifier CMS requires for split/shared services.
  • Assess orthopaedic scenarios to practice applying these essential billing concepts.


Sarah is an experienced, professional, approachable consultant and speaker who succeeds in helping clients identify both risk and opportunity in their coding, reimbursement, and operational systems.

Sarah has deep experience in orthopaedics, neurosurgery, otolaryngology, and physical therapy. She presents on CPT and ICD-10 coding nationally for the AAOS national workshop series, and state societies, physical therapy firms and large musculoskeletal groups have invited Sarah to educate physicians and staff.

1 hour
*You will have access to the content for 30 days from the time you receive the access information.
Please email if you have questions.

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