Ensure full pay for services provided by your nurse practitioners, physician assistants, clinical nurse specialists, and other mid-level clinicians.
Staffing nonphysician practitioners (NPPs) enables your practice to see more patients, but the revenue benefits depend on your team’s ability to navigate the complex set of NPP coding and billing rules.
Do you know the guidelines that Medicare and other payers apply toward reimbursement of NPP services? Are you clear on the rules for direct supervision? How about reciprocity? If you’re like most, you have more questions than answers.
Getting incident-to billing right means 15% more in reimbursement. Getting it wrong could be considered fraudulent. With stakes this high, you need the Nonphysician Practitioner Reference Guide.
This comprehensive resource provides expert guidance covering the scope of NPP coding and billing regulations. Understand the distinctions between shared visit and incident-to services and meet the troublesome requirements of audit-ready incident-to billing.
Packed with authoritative tips, readers’ Q&A, and handy clip-and-save tools—including an incident-to audit checklist—you’ll master the reporting nuances of E/M services, prolonged services, virtual visits, and more.
Shore up revenue for your mid-level practitioners with:
- Understand the 2023 E/M code and guideline changes
- Tips for accurate dual-provider coding
- Max out incident-to pay the right way and earn 100% of allowable revenue versus 85%
- Rely on split/shared visit coding in non-office settings
- Know how to avoid substitute physician billing challenges
- Boost your signature know-how and avoid claim denials
- Watch incident-to claims when physician is out of office
- Get the facts on performing consults
- Learn the secret NPP guidelines for coding virtual visits
- And much more!
Clear up your NPP compliance confusion—and know exactly when you can bill service incidents to the physician—with the Nonphysician Practitioner Reference Guide.
IMPORTANT NOTE: If you already have the first or second edition of the Nonphysician Practitioner Reference Guide, you will want to upgrade to the third edition, which includes updates for the E/M code and guidelines changes that occurred in 2023. This new edition removes deleted CPT® codes, replaces official descriptors for all revised CPT® codes, and offers coding and billing tips for NPPs using home services codes.
With certain exceptions, products purchased from AAPC may be returned for a refund. Products must be submitted for a return within 30 days from the purchase or shipment date to be eligible for a refund. They must also be unopened and in resellable condition. Returned products are subject to a $5 restocking fee per item. Shipping charges are nonrefundable. Refund requests may be submitted in writing or verbally to AAPC.
Product-specific Return Policies
Refunds will not be issued for AAPC Membership, exams, webinars, or On Demand events.
Due to immediate electronic access, refunds or extension will not be issued for Online Practice Exams and Online Area of Study
Workshop registration is refundable, if you cancel at least one week prior to the workshop you may receive a refund less the $25 cancellation fee. In the event that a cancellation is received less than one week prior to the workshop, no refund will be given. You may transfer your registration to the on-demand version of the workshop or you may have a credit for a future workshop.
Conference registration is refundable, with varying fees and deadlines. See the specific conference web page for further details. Hotel cancellations are also subject to varying fees and deadlines; the specific conference web page will have further details for hotel cancellations as well.
Distance Learning online courses may be cancelled for a full refund within three days after the date of purchase, provided that the student has not accessed the online course, and course materials and books are returned unopened and in good condition to AAPC. After three business days, course cancellations are subject to a $50 cancellation fee per course, in addition to any fees for course materials/books that are not returned to AAPC, or are returned opened or used. Refunds will not be issued for any course that has been accessed, viewed, or partially completed, and no refund is available for any course after 30 days from the purchase date. Course refund requests must be submitted in writing to AAPC for review and consideration. No refunds will be issued for course extensions. Distance Learning courses are for individual use only and are nontransferable.
E/M Online Training, and Online Exam Reviews that have not been accessed are refundable within 30 days of purchase date. No refund will be issued on any exam or training/review tool that has been accessed, viewed, or partially completed.
Refunds will not be issued for AAPC Membership, exams, webinars, or On Demand events.:
Due to immediate electronic access, refunds or extension will not be issued for Online Practice Exams and Online Area of Study
Returning an individual book that was purchased in a bundled package will invalidate the bundled discount. All the books in the bundle will revert to their regular prices and the remaining cost of the unreturned books will be subtracted from the refund.
eBook cancellations will be accepted only if the return request is made within 5 working days of placing the order. If the redemption codes are applied to access the eBook, refunds will not be processed.
Codify is not refundable, you may terminate your subscription or free trial by contacting AAPC via phone or email. To ensure that your credit card does not get charged, please make your cancelation request at least two business days prior to the end date of your subscription or free trial term.
Practicode may be cancelled for a full refund within 30 days of the date of purchase, provided the Client has not completed any exercises within the modules and/or assessments.
Reseller/Wholesaler Policy
Shipments must be securely packaged and in resalable condition through a carrier providing tracking information. AAPC will review and confirm returned products upon return. Credit to the account, minus applicable fees, will be posted once the audit is complete.
Upon receipt of your organization’s return requests, AAPC has the right to authorize and accept returns the following month, due to allocations of warehouse personnel to adequately process returns.
A $5 restocking fee will be applied to each item returned.
Annual books: Return of AAPC products will be accepted for full credit until September 30 of that version's year. Resellers/bookstores must complete returns within 90 days of purchase. Returns of AMA’s CPT® codebooks will be accepted for full credit until June 30 of that versions year.
