DecisionHealth, DecisionHealth - 2011 Issue 11 (November)

NPP Benchmark: NP vs. PA inpatient E/M utilization, 2009-2010

How have inpatient E/M utilization by nurse practitioners (NPs) and physician assistants (PAs) changed from 2009 to 2010 – the first year in which CMS stopped accepting consultation codes (99241-99255)? In 2010, inpatient consults were required to be billed as initial or subsequent hospital care codes (99221-99233) by CMS. All figures are based on the latest Medicare claims data from 2010. NOTE: All billing data for NPs and PAs are based only on services billed under their own individual national provider identifiers (NPIs). CMS does not distinguish between physician-billed services and those billed incident-to by NPPs.

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