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06/27/2011

Not all providers are required to e-prescribe but knowing  your NPPs’ prescribing responsibilities can help your practice avoid the 1% payment hit in 2012.

06/27/2011

Both nurse practitioners (NPs) and physician assistants (PAs) bill the majority of their Medicare services in the office setting, though NPs split the rest of their utilization between nursing facilities and skilled nursing facilities (SNFs). PAs split the rest of their utilization on the emergency room, and inpatient hospital. Neither spend much time in ambulatory surgical centers or end-stage renal disease (ESRD) facilities.

06/27/2011

We have a PA-C working in our office. Claims for this NPP are billed incident to our physician. On a recent audit of these, the auditor stated the services rendered did not meet the criteria for incident to billing, as the PA-C was dealing with "new" problems, not outlined in the physician’s plan of care. When I look at the PA-C's note, I see a routine follow-up for chronic conditions. Are we missing something these auditors are looking for? 

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