Nurse Practitioners and Physician Assistants Medical Billing

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• Nurse Practitioners and Physician Assistants
  Medical Billing

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Nurse Practitioners and Physician Assistants
Medical Billing
Physician Assistants (PAs) and Nurse
Practitioners (NPs) also referred to as
non-physician practitioners (NPPs). To improve
patient care practices are increasingly hiring
nurse practitioners (NPs) and physician
assistants (PAs) to increase reimbursement. If
you are among them, you will want to make sure
that your billing should be error free for them
to increase reimbursement for your practice. To
run cost-effective and efficient medical practice
you need to understand medical billing and coding
for nurse practitioners. Regulations are varied
by insurance companies and state by state, so
both the nurse practitioners and physician must
stay up to date with practice guidelines and
current updates. Types of reimbursement from
Medicare for these NPPs (non-physician
providers) National Provider Identifier
(NPI) Its important that all mid-level providers
should have their own National Provider
Identifier (NPI) and be credentialed with each
payer to bill under their NPI number, based on
payer rules and regulations. There is positive
and negative point of the payments to NPPs
positive point is that NPPs have greater
flexibility, including seeing new patients and
existing patients with new problems. Negative
point is reduction in receivable amount.
Medical Billing Services in Oregon
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Nurse Practitioners and Physician Assistants
Medical Billing
Bill incident to Under Medicare, when billing
incident to, you will receive 100 of Medicare
rates. New patients should be seen by the
physician to set up the Plan of Care and this
would be billed under the rendering physician.
One side note The physician who initiates the
plan of care does not need to be the same
allergist who supervises the NP it can be
another allergist in the group. Most commercial
payers follow Medicares incident to rules and
regulations. But plans are vary, so you need to
check your contracts to review the rules for
incident to billing. Some commercial plans have
less restrictive rules regarding incident to
billing but make sure you get them in
writing. How do NPPs work in your practice? Do
they see only follow up patients, and is there
always patient in the clinic with them? If so,
incident to billing might work. However, if
your NPPs cover remote locations by themselves,
or regularly see new patients, billing incident
to will not work. Check your states licensing
and rules and regulations to identify other
requirements.
Medical Billing Services in Oregon
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Nurse Practitioners and Physician Assistants
Medical Billing
If adjustments are made to the plan of care, then
the physicians should see the patient face to
face in some cases, in order to adjust the
original plan of care, otherwise, the visit may
not qualify for Incident to billing. The need
of physician assistant and nurse practitioners is
increased due to patient care, physicians
shortages and healthcare spending. Correct
understanding and updated knowledge of billing is
required for individual payer. According to the
Bureau of Labor Statistics, Employment of
physician assistants is projected to grow 37
percent till 2026, much faster than the average
for all occupations. Is your practice using NPs
or Pas service? Are you looking for guidance in
billing? Let us know your requirement. Connect
with our medical billing manager today at
info_at_medisysdata.com. About Medisys We are a
group of medical billing experts who offer
comprehensive billing and coding services to
doctors, physicians hospitals. We provide end
to end billing and coding solutions. Medisys Data
Solutions RCM solutions ensures that the
providers recover every they are entitled to.
Our vision for the providers is You Cure. We
ecure.
Medical Billing Services in Oregon