by Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
February 5th, 2019
State scope of practice laws and regulations will help determine who is considered clinical staff and who is considered an other qualified healthcare professional.
Examples of other qualified healthcare professionals:
- Nurse Practitioner (NP)
- Certified Nurse Specialist (CNS)
- Physician Assistant (PA)
- Certified Nurse Midwife (CNM)
- Certified Registered Nurse Anesthetist (CRNA)
- Licensed Clinical Social Worker (LCSW)
- Physical Therapist (PT)
(NOTE: this list is not all-inclusive, please refer to your payer with more specific questions)
Clinical staff are staff members who would generally work under the supervision of a physician or perhaps another qualified health care professional. Clinical staff must be allowed, by regulation, law, and the policy of the facility, to perform or assist and will not report their service. (This is not
CMS clarifies Clinical Staff in their FAQs. Read the entire article here.
AAPC also has an article that defines a Qualified Healthcare Professional.
Read AMA's Physician Assistant scope of practice at the state level.