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NP BILLING

SuperCoder Posted Thu 10th of November, 2011 17:58:59 PM

Hi,
I am in the state of Va and I believe I read some where that a NP can't see a new patient they may see an established pt but not a new patient. Also that after the NP see's the established patient several times the patient then has to be seen by the MD then back to the NP again for several visits then back to the MD. etc.
Thank you

SuperCoder Answered Thu 10th of November, 2011 22:22:41 PM

A nurse practitioner can see a new patient under his/her own provider number.

Guidelines:
If an NP conducts a visit with a new patient, the practice must make a choice -- bill the visit under the NP's provider number or bill the visit under the physician's provider number, and have the physician, not the NP, perform and document the portions of the evaluation relevant to the choice of procedure code. The physician's signature or writing "agree" on an NP's evaluation will not suffice for Medicare. Other insurers may have different rules, but no insurer pays extra if a physician cosigns an NP's records

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