2025 Coding & Billing Updates for Non physician Practitioners

2025 brought some updates to billing rules for non-physician practitioners. Updated categories include:

• Non-face-to-face non physician qualified healthcare professional services. This area includes billing guidelines for telephone services: what can be billed and what documentation is required? How is time calculated?
• Non physician qualified healthcare professional online digital assessment & management services
• What are split/shared visits. Ensure your understanding of correct billing criteria

Split/shared visits

• What is meant by “substansive portion of the visit”?
• When using medical decision-making as the driving factor of the E & M code selection, what will determine the “substansive portion”?
• This webinar will walk through the applicable code updates and documentation requirements for these services to ensure proper billing compliance.

Who Will Benefit

• Physicians
• Practice managers
• Medical assistants
• Nurses
• Compliance staff
• Billers
• Coders
• Revenue Cycle
• Risk Management
• Mid level providers

Agenda

Review pros of outsourcing

• Expertise
• Cost
• Efficiency
• Competency

Cons of outsourcing

• Loss of control
• Communication
• Quality
• Risks