Navigating PA Reimbursement

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This presentation provides PAs with a comprehensive overview of healthcare reimbursement, including evolving payment models and value-based care. Participants will explore key Medicare billing policies, such as “incident to” and “shared visit” billing, as well as essential enrollment and credentialing requirements for payer reimbursement. By understanding these critical financial and regulatory aspects, PAs can optimize billing practices, maximize reimbursement, and enhance the financial sustainability of their clinical practice.

Learning Objectives

At the conclusion of this activity, participants should be able to:
 
  • Explore healthcare reimbursement, evolving payment models, and value-based payment
  • Explain optional Medicare billing policies, including “incident to” and “shared visit” billing
  • Recognize requirements, such as enrollment and credentialing with payers, for PA reimbursement
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