decisionhealth Newsletters, Part B News - 2010 Issue 2 (February)
NPP Report: 4 reasons to hire an NPP instead of a physician
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Article Overview
This article explains why a practice might choose a non-physician practitioner instead of a physician and highlights the operational and billing factors that influence that decision. It is aimed at practice managers, administrators, and coding/revenue-cycle professionals who evaluate provider staffing, scope-of-practice constraints, and reimbursement implications. The article also addresses general considerations for incident-to billing and the need to compare workload, cost, and revenue potential before hiring.
Why This Topic Matters
Provider staffing choices affect access, workflow, supervision needs, and reimbursement. Understanding the general tradeoffs between different provider types helps practices make more informed hiring and billing decisions.
Article Sections
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Choosing an NPP versus a physician
Introduces the staffing decision and the need to consider practice needs and state scope-of-practice limits.
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Reasons practices may prefer an NPP
Reviews broad operational factors that can influence a practice’s preference for a non-physician practitioner over a physician.
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Looking before you leap
Summarizes planning considerations for defining the role, evaluating practice needs, and comparing staffing options.
What You Will Learn
- How practices think about staffing choices between different provider types
- What operational factors can affect the decision to hire an NPP
- Why scope-of-practice review matters before hiring
- What general billing considerations are discussed in connection with NPP services
- How practices can approach workload and cost evaluation before making a hire
Who Should Read This
- Practice managers
- Medical office administrators
- Physician owners
- Revenue cycle staff
- Coding and billing professionals
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