VantagePoint has experience working with groups and hospitals in defining, refining and maximizing the use of mid-level providers. We bring essential value in several ways:

• Develop models to show value of mid-level providers in a practice, department, etc.
• Assess mid-level provider productivity and profitability
• Recommend services that can be billed by mid-level providers based upon their scope of practice and payer rules
• Recommend appropriate billing provider when multiple providers render care to the patient on the same day
• Provide supervisory requirements as dictated by state regulations, CMS, and third party payers
• Train mid-level providers on selecting the appropriate E/M level and how to document for same
• Research current payer policies, coding methods, and reimbursement rates
• Assist in the development of policies related to supervisory requirements
• Review and make recommendations related to collaborative agreements
• Review patient records and compare to claims to insure appropriate billing rules are being followed
• Assist in the development of compensation and incentive models for mid-level providers
• Manage the credentialling process with third-party payers

We have been involved in helping practices and hospitals define how to bill for mid-level providers. We will train mid-level providers how to accurately document and code for billable services.