DecisionHealth, DecisionHealth - 2019 Issue 7 (July)

NPs and PAs get more work and, with the right codes, lower denial rates

MedPAC may be right that the use of nurse practitioners (NPs) and physician assistants (PAs) under incident-to billing is masking the size of their contribution to care. It’s clear that even when billing under their own specialty codes, these top mid-levels are billing more than before, according to 2017 Medicare claims data, the most recent available. Overall denial rates are not great, but when you put them to work on the right service they do very well.
 

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