decisionhealth Newsletters, Part B News - 2011 Issue 6 (June)
NPP Benchmark: NP vs. PA utilization by place of service, 2005-2009
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Article Overview
This article reviews Medicare utilization patterns for nurse practitioners and physician assistants across place-of-service settings, comparing 2005 with 2009 CMS data. It is intended for coding, compliance, and practice analytics audiences who need a high-level view of how service location patterns differ between these nonphysician practitioners and how those patterns changed over time.
Why This Topic Matters
Place-of-service patterns can affect benchmarking, claims analysis, and operational review. Understanding how NP and PA billing is distributed across settings helps readers assess utilization trends and interpret CMS-based reports more accurately.
Article Sections
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Summary
An overview of the utilization comparison and the data timeframe used in the charts.
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Breakdown
A discussion of the major place-of-service categories represented in the utilization comparison and the relative distribution across settings.
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Takeaways
A brief review of the overall trend across the five-year period and the broad shifts noted between the practitioner groups.
What You Will Learn
- How CMS utilization data can be used to compare NP and PA service locations
- Which broad place-of-service settings are included in the benchmark analysis
- How NP and PA utilization patterns differ across major care settings
- What time period the benchmark comparison covers
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
- Health care analysts
Codes Discussed
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