Tip: Identifying Nurse Practitioner and Physician Assistant Services
Number | 0108 |
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Submitting Entity (SE) | All |
Add Date | Feb 18, 2022 |
Update Date |
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Update |
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Description | Nurse practitioners (NP) and physician’s assistants (PA) may bill under their own NPI or that of a practicing physician depending on the employment and/or service arrangement. It is difficult to identify services rendered by NPs or PAs when billing under the physician/clinic. NP and PA services can be identified using procedure code modifiers or certain CPT/HCPCS codes. Several resources are available to help the data user identify which does to use. It is recommended that the data users/analyst review these resources in the context of their project to select the most appropriate identifying codes. Resources for Arkansas include but are not limited to:
https://secure.arkansasbluecross.com/members/report.aspx?policyNumber=2008010&viewIntro=yes (NP) https://secure.arkansasbluecross.com/members/report.aspx?policyNumber=2008014 (PA) https://www.aafp.org/fpm/1998/0500/p12.html https://www.medscape.com/viewarticle/926845 https://www.acep.org/administration/reimbursement/reimbursement-faqs/physician-assistants-and-nurse-practitioners--faq/#question11 |
Active/Resolved | Active |
Action / Resolution |
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Category 1 | Providers |
Category 2 | Providers |
Tip / Issue | Tip |