tci ED Coding & Reimbursement Alert - 2006 Issue 12

READER QUESTION ~ State, Facility Will Have Final Say on NPP's Role

Question: Our coding company recently started processing claims for an ED that employs non-physician practitioners (NPPs). What types of services can NPPs provide, and what are the supervision requirements for these medical professionals?New Mexico SubscriberAnswer: It depends on your state and particular hospital. While Medicare and third-party payers may allow you to code for certain services the NPP provides, state lawmakers and individual facilities are the ones that decide what procedures and services NPPs can perform. Best bet: Check with the hospital and look at your state statutes to decide what NPPs can do in the ED. While...

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