decisionhealth Newsletters, Part B News - 2022 Issue 2 (February)
Beyond E/M: NPs, PAs regularly clock blood draws, AWVs, skin procedures
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Article Overview
This article reviews Medicare claims patterns for nurse practitioners and physician associates, with emphasis on the mix of evaluation and management services and other commonly billed procedure and service codes. It is relevant to coders, compliance staff, practice managers, and reimbursement teams who monitor non-physician provider billing trends, Medicare utilization, and service mix changes over time. The discussion centers on broad billing categories such as injections, blood draws, wellness visits, skin procedures, and related reporting patterns drawn from Medicare claims analysis.
Why This Topic Matters
Understanding how non-physician provider billing extends beyond office visits can help practices benchmark utilization, review documentation workflows, and monitor Medicare billing patterns for compliance and operational planning.
Article Sections
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Medicare billing trends for NPs and PAs
Provides an overview of Medicare billing growth for nurse practitioners and physician associates and compares evaluation and management claims with other reported services.
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High-volume non-E/M services and procedure patterns
Summarizes the broader categories of services that appear frequently on non-physician provider claims, including injections and other commonly billed procedures.
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Frequent services reported by nurse practitioners
Describes the non-E/M services that appear prominently on nurse practitioner claims and how those services compare across claim volume rankings.
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Frequent services reported by physician associates
Highlights the non-E/M services that are commonly billed by physician associate claims, including skin-related and office-based procedures.
What You Will Learn
- How Medicare claims analysis can be used to compare non-physician provider billing patterns
- Which broad categories of services appear frequently outside evaluation and management
- How service mix differs between nurse practitioners and physician associates
- What types of procedure and service trends are emphasized in the article
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Practice managers
- Reimbursement analysts
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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