Billing & Coding for Nurse Practitioners


APEA Introduces One-of-a-Kind CE Program

For many nurse practitioners, determining how to accurately code the services provided during patient visits can be an exercise in frustration. NPs may feel they need to break a secret code in order to execute this important task. Help is now available.

Advanced Practice Education Associates (APEA) has developed a continuing education program that removes the mystery from the coding process. This video program is paired with a printed, portable resource that outlines key steps in evaluation and management (E&M) decision making and coding. Together, the products in this program equip healthcare providers to efficiently and accurately document, code and bill for every patient, every day.

“Guide to Reimbursement: Making Sense of Dollars & Cents” is a 2.9-hour online presentation that describes the components of E&M services that are essential to accurate billing and coding and provides advice for avoiding fraudulent practices. This CE program is presented in a streaming video format accessible via internet connection on smartphones, tablets and computers.

The presenter of this information is Lynn Rapsilber, DNP, ANP-BC, FAANP, a well-known expert on billing and coding. Rapsilber is the co-owner of NP Business Consultants, a nurse practitioner reimbursement education company. She practices clinically in a gastrointestinal treatment setting in Torrington, CT, and is a part-time faculty member at Quinnipiac University in North Haven, CT.

The companion to the video presentation is the “Guide to Billing & Coding for Evaluation & Management Services in the Outpatient Clinical Setting.” This guide is presented as a durable spiral-bound card set that can be carried in a lab coat pocket or tucked on a clipboard for easy access.

Video Presentation
The CE presentation is divided into three segments:

• Auditing for Success (viewing time approximately 1 hour, 7 minutes)
• Coding & Documentation for APRNs (viewing time approximately 1 hour, 8 minutes)
• Healthcare Fraud cases (viewing time approximately 38 minutes)

In the videos, Rapsilber explains the wide range of information necessary to select the correct codes and service levels, including the meaning of provider status when it comes to billing. She describes the available tools for reimbursement, and the documentation and coding changes introduced by ICD-10. The video presentations also describe how to solve coding conundrums, distinguish among billing types (e.g., incident to), and avoid falling into common billing fraud traps.

Portable Coding Cards
The card set that accompanies the CE program was developed by APEA to meet a need often expressed by ambulatory primary care providers. These providers have long sought a simple guide to E&M codes, provider status determination and appropriate reimbursement levels for medical decision making.

The Guide to Billing & Coding for Evaluation & Management Services in the Outpatient Clinical Setting provides this information in a succinct, easy-to-understood way. The portable nature of the cards allows for seamless maneuvering between topics and sections. By keeping this card set accessible throughout the workday, NPs can quickly check that the codes and terms they are selecting are appropriate.

The card set details documentation considerations for the following:
• chief complaint
• history of present illness
• review of systems
• past, family, and social histories
• the physical examination with focused elements
• complexities of medical decision making
• ICD-10 and general rules of documentation
• time-based billing
• special setting of service billing
• preventive services.

Ideal for Students and NPs

APEA’s continuing education program on billing and coding is beneficial for experienced NPs as well as NP students preparing to enter the profession. No matter what the learner’s level of clinical experience, completing this course helps ensure better understanding of the scope of information necessary to accurately code for E&M services.

Despite the growing prevalence of electronic health records (EHR) and billing support staff, the responsibility for appropriate coding still rests with the provider of healthcare services. It is the provider who will be charged with over- or undercoding if it occurs, not the EHR company or the billing clerk. NPs must understand how their services are classified and billed, and they must stay up-to-date on current terminology and codes.

This one-of-a-kind CE program is available from APEA for only $99. Purchase access here. The card set is mailed on the next business day after purchase. APEA recommends waiting to view the video course until the card set is in hand. Each video is accessible twice within 6 months of the purchase date.

The Guide to Reimbursement CE program is eligible for 3.5 contact hours (zero pharmacology hours). Learn more about earning contact hours from APEA in the CE Center. APEA offers a wide-ranging library of CE topics, with new courses developed on an ongoing basis. Visit the CE Center often to meet your contact hour needs.

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Advanced Practice Education Associates is an approved provider of nurse practitioner continuing education by the American Association of Nurse Practitioners.
AANP Provider #100820