Billing & Coding
CE Information
1.0 CE creditCompletion Time
50 minutesAvailable Until
March 20, 2026Posted By
NP Alliance of Rhode Island
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Overview
Billing and Coding for Primary Care: Maximizing Reimbursement
Learning Objectives
u1. Explain the foundational principles of medical billing and coding, including ICD-10, CPT, and HCPCS coding systems relevant to primary care practice.
u2. Differentiate between Fee-for-Service (FFS) and Capitation payment models, including their impact on coding, documentation, revenue cycle management, and patient care in primary care settings.
u3. Differentiate between various E/M levels of service and correctly apply 2021 AMA E/M coding changes to ensure proper documentation and billing for primary care visits.
u4. Apply appropriate coding modifiers (e.g., -25, -59) to accurately reflect services provided, prevent claim denials, and maximize reimbursement while maintaining compliance.
Speakers
Clinical Assistant Professor
Desirae Heys is a family nurse practitioner who has held clinical practices at WellOne Primary Medical and Dental Care and Providence Community Health Center. She previously served as an adjunct professor and an assistant clinical researcher with the URI College of Nursing. She teaches primary care nursing at both the undergraduate and graduate levels, with a focus on underserved populations and care at federally qualified health centers. She aims to utilize technology, simulation and population health outcomes to educate the next generation of nurse leaders.
CE Information
This activity offers 1.0 CE credit to attendees.
Accredited by AANP.
Disclosures
N/A
Activity Content
Duration: about 1 hour | Quality: HD
1 question
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