Incident-to, Split/Shared Services, and NPP Documentation and Billing Updates for 2026

What your Nurse Practitioners and Physician Assistants Should Know

Nurse Practitioners and Physician Assistants play a growing role in patient care, and with that growth come new documentation, coding, and billing challenges. Questions such as what must be documented, who can document, and who can bill for a service continue to surface as guidelines evolve. Both clinical and billing teams need a solid understanding of these rules to stay compliant and support accurate reimbursement.

Recent CPT changes, including the 2021 updates to Office and Other Outpatient Services and the 2023 changes to Hospital Inpatient and Observation Services, still create uncertainty in everyday workflows. The September 2025 Medicare MedLearn Evaluation and Management Guide added more detailed instructions on how to bill Critical Care services. In addition, several new remote monitoring codes for 2026—especially those for shorter-duration services—require a fresh look at what NPPs can and cannot perform.

This session brings clarity to these issues so your NPPs and billing staff can work confidently and avoid compliance risks.

Webinar Objectives

By the end of this session, attendees will understand:

• How “incident to” services work and what the physician must document to support a valid plan of care
• What counts as “substantive” work within split/shared services
• Why facility-based settings follow different rules for NPP documentation and billing

Webinar Highlights

• Incident to Services: Documentation and Billing Expectations for 2026
• Split/Shared Services: Updated rules and practical guidance for 2026
• Provider-based billing: How these requirements change the way NPPs deliver services
• Critical Care Services: Key updates from CMS’s latest E/M Services Guide
• New 2026 remote monitoring codes: Which services NPPs can perform and how to bill them

Who Should Attend

Medical practice leaders, coding and billing professionals, auditors, compliance teams, physicians, nurse practitioners, physician assistants, and anyone responsible for E/M documentation or reimbursement in outpatient or facility-based settings.