Maryland Academy of Advanced Practice Clinicians

Updates: buprenorphine waiver training & eliminating “incident-to billing”

Posted 5 months ago by Elaine Crain

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The Maryland Addiction Consultation Service (MACS) and the Anne Arundel County Department of Health are cohosting a buprenorphine waiver training.  This free training will be at the Anne Arundel Medical Center and will be the half-and-half format (providers will complete 4 hours of training in-person on October 9 and then complete the additional training online).

Wednesday, October 9, 2019 

7:30 am – 12:00 pm 

Doordan Institute 2000 Medical Parkway Belcher Pavilion, 7th Floor Annapolis, MD 21401 

Questions? Contact Tracy Sommer: 

Register here: 

7:30 am– 8 am: Registration & Breakfast

8 am – 12 pm: Training 

From the NCSBN:

July 19, 2019

In its annual report to Congress, the Medicare Payment Advisory Commission (MedPAC) recommended eliminating “incident-to billing” for APRNs and physician assistants (PAs). Incident-to billing is a Medicare billing provision that allows medical practices to bill at a higher physician rate for services provided by an APRN or PA, or other member of a medical team. Instead, MedPAC recommends that APRNs and PAs be allowed to bill Medicare directly under their own national provider identifier for services they provide.

Additionally, MedPAC recommends refining the specialty designation of APRNs and PAs to give Medicare a fuller accounting of the services provided by these clinicians, improving policymakers’ ability to target resources towards primary care and produce savings for Medicare and its beneficiaries.


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