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09/26/2011

You and your peers have lost over $171 million in denied claims with modifier AS (assistant in surgery) attached, according to a Part B News analysis of CMS’s 2010 claims data. The best way your practice can stave off such losses is to be discretionary when using non-physician practitioners (NPPs) in surgery assists.

09/26/2011

These charts show 10 of the fastest-growing codes billed by non-physician practitioners (NPPs) that still have high denial rates; all based on the newest 2010 CMS claims data. NOTE: Lab codes, supply codes, codes that generated less than $1 million in annual reimbursement and codes with low denial rates were excluded from analysis. NOTE: All utilization and denial rates below reflect combined CMS claims data for audiologists, certified nurse midwives, certified registered nurse anesthetists, chiropractors, nurse practitioners, physician assistants and physical therapists.

09/26/2011

Can a nurse practitioner see new Medicare patients?  If so, where does CMS specify this?

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