PA and APRN Reimbursement: Rules, Revenue and ROI

  • Tuesday, November 14, 2017
  • 8:30 AM - 11:00 AM
  • Providence Marriott Downtown - 1 Orms Street, Providence, RI 02906
  • 19


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PA and APRN Reimbursement: Rules, Revenue and ROI

Held in conjunction with the Rhode Island Academy of Physician Assistants

About the Event

Join, Sr. Vice President Reimbursement and Professional Advocacy for the American Academy of Physician Assistants, Michael L. Powe as he:

  • Explains the regulatory and coverage policy requirements for PA and APRN reimbursement in clinics, hospitals and hospital-owned facilities.
  • Identifies the unique rules surrounding “incident to” and shared visit billing.
  • Describes the components of delivery system change that will impact PAs and other health professionals as payment systems transition to value-based reimbursement.
  • Evaluates PA/APRN productivity in both economic and non-economic terms, and demonstrate their contribution to increased practice efficiency.
  • Discusses how to reduce the possibility of fraud and abuse audits.


  • Avoiding fraud and abuse concerns
  • Office-based Reimbursement
    • Billing under the PA/APRN

    • Enrolling and credentialing

    • Definition of collaboration-What it doesn’t mean

    • Efficient PA utilization/productivity: How practices can potentially make more money when billing under the PA

  • Hospital-based Reimbursement
    • Shared visit
    • Ability of PA to perform admission H&Ps and discharge summaries
    • Credentialing/privileging
    • The confluence of statute, regulations and payer policies
    • How PAs fit into the new Medicare Quality Payment Program (MIPS/APMs).
  •  Understanding PA productivity, utilization and contributions 

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