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Part B Insider (Multispecialty) Coding Alert

Reader Question:

Specialists' Non-Physician Practitioners Can Collect Primary Care Incentive Bonuses

Question: Our cardiology practice employs a non-physician practitioner (NPP) who performs a lot of E/M services for our patients, and that NPP received a bonus payment as part of the Primary Care Incentive Payment program, which surprised us. We wanted to double-check this -- is a nonphysician practitioner working for a specialist eligible to collect primary care incentive bonuses that are being distributed as a result of the Affordable Care Act rule?Answer: Yes. As long as the NPP meets all of the criteria for the primary care incentive payments, he can collect the bonus, said CMS's William Rogers, MD, during a May 17 CMS open door forum. "Under current law, that's permissible if you're a nonphysician practitioner, like a physician assistant or nurse practitioner, if you meet the criteria...then you would meet the requirements to receive the primary care incentive payment," Rogers said. "If there were to be any change to [...]


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