×

close

tci E/M Coding Alert - 2013 Issue 8

Reader Question: Check With Payer Before Adding SA

Question: When the NP provides unsupervised services, I bill the codes under the nurse practitioner’s number for supervised visits, I use modifier SA. Would I bill using the rendering or the supervising provider’s NPI? Will payers reduce payment since for a supervised visit?Idaho Subscriber Answer: You should use HCPCS Level II modifier SA (Nurse practitioner rendering service in collaboration with a physician) for supervised nurse practitioner services when the insurer does require this modifier. Some Medicaid programs such as Medi-Cal require you to apply modifier SA to all nurse practitioner (NP) services which are submitted under...

To read the full article, sign in and subscribe to tci E/M Coding Alert.

Thank you for choosing Find-A-Code, please Sign In to remove ads.