Question: Can a Non-Physician Practitioner (NPP) see patients in a nursing facility without a physician signing each encounter? How do we bill this? Can we do wellness visits in a nursing facility? Answer: Yes, NPPs may care for patients in a nursing home. These can either be billed directly by the NPP, under their own […]
Incident To Services – Medicare
Medicare has specific rules for billing for nurse practitioners and physician assistants and other office staff incident to a physician services in an office. This article includes: Description, explanation and codes for incident-to services Billing and coding rules Brief video overview Enrollment of non-physician practitioners (NPPs) for incident-to billing Pharmacists and Part B Medicare reimbursements […]
NPP Billing-Shared and Incident to Services | Webinar
Recorded November 20th, 2025
1 CEU expires 11/30/26
Guest presenter Seth Canterbury
Billing for services involving NPPs presents specific challenges. This webinar will provide an in-depth review of Medicare’s current rules for services involving advanced practice providers (NPPs), focusing on the distinctions and documentation requirements for split/shared encounters and incident-to billing.
CMS’s 2024 Shared or Split Services Policy: Document and Report Them Correctly
In 2024, CPT® expanded its definition of split/shared services, CMS updated their requirements. Neither CMS nor CPT® made changes to this policy in 2025 or 2026. Medicare requires that both practitioners are enrolled in Medicare, and both have E/M in their scope of practice. CPT® expanded its definition of split/shared services in 2024. The service […]
Shared Services: CPT® and CMS Rules | Webinar
Recorded May 16th, 2024
1 CEU expires 5/30/26
Shared services are E/M services jointly performed by a physician and non-physician practitioner in a facility setting. The service is reported under the National Provider Identifier (NPI) of the practitioner who performs the substantive portion of the service. The substantive portion of the service can be determined by time or medical decision making (MDM).
Coding Guide – Medicare Incident-to and Shared Services
This in depth guide reviews the requirements for billing Medicare Incident-to and shared services including: when/where these services can be billed, which provider number to use, and documentation requirements.