tci ED Coding & Reimbursement Alert - 2002 Issue 6

Five Pointers on How to Optimize Reporting Nonphysician Practitioner Services

Although Medicare and other payers may allow payment for specific services provided by nurse practitioners (NPs) and physician assistants (PAs), state legislation and individual hospitals regulate which procedures and services they are licensed to perform. Coders should keep five points in mind when reporting services provided by nonphysician practitioners (NPPs) in the ED:1. Which services can NPs and PAs provide in the ED? According to Michael Powe, director of reimbursement for the American Academy of Physician Assistants (AAPA), Medicare does not restrict the types of care PAs and NPs can provide but defers to state practice laws. Most NPPs...

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