svms
Networker
Help,
I work in a small multi-specialty practice; we have family care, orthopedics, physical therapy, general surgery, internal medicine, and rheumatology.
A question just arose today in our office about billing for a nurse practitioner and physicians assistant.
I need to get the correct response. But I must also find out where it is documented so that I can give it to the Dr. that I work for. He also owns the practice.
This is IOV versus established visit.
If a patient comes in and sees a patient in family care. After the patient becomes established, he sees a family care nurse practitioner and the claim is billed in her name.
The patient later is referred to our orthopedics department.
QUESTION?????
Because the patient was seen in family care and the claim was billed in the nurse practitioner's name, I have always been told I cannot bill an IOV for the orthopedic visit. (or vise versa-if our physician's assistant sees a patient in orthopedics, and it is billed in her name, than the patient wants to be seen in family for the first time- we cannot bill an IOV for family care either).
The reason why I was told we cannot bill an IOV when the nurse practitioner/physician assistant was seen is because "NPP's are not afforded the opportunity to designate a sub-specialty. A NPP can only designate their primary licensure."
But the Dr. this morning is questioning if this is correct. Since both the nurse practitioner and the physician assistant have different primary specialty. Neither have a subspecialty assigned to their name.
PLEASE, ANY HELP WITH THIS WILL BE GREATLY APPRECIATED.
BUT I ALSO NEED TO KNOW WHERE THIS INFORMATION IS DOCUMENTED AS WELL SO THAT I CAN FORWARD THIS TO MY SUPERVISOR AND THE PHYSICIAN THAT I WORK FOR.
I work in a small multi-specialty practice; we have family care, orthopedics, physical therapy, general surgery, internal medicine, and rheumatology.
A question just arose today in our office about billing for a nurse practitioner and physicians assistant.
I need to get the correct response. But I must also find out where it is documented so that I can give it to the Dr. that I work for. He also owns the practice.
This is IOV versus established visit.
If a patient comes in and sees a patient in family care. After the patient becomes established, he sees a family care nurse practitioner and the claim is billed in her name.
The patient later is referred to our orthopedics department.
QUESTION?????
Because the patient was seen in family care and the claim was billed in the nurse practitioner's name, I have always been told I cannot bill an IOV for the orthopedic visit. (or vise versa-if our physician's assistant sees a patient in orthopedics, and it is billed in her name, than the patient wants to be seen in family for the first time- we cannot bill an IOV for family care either).
The reason why I was told we cannot bill an IOV when the nurse practitioner/physician assistant was seen is because "NPP's are not afforded the opportunity to designate a sub-specialty. A NPP can only designate their primary licensure."
But the Dr. this morning is questioning if this is correct. Since both the nurse practitioner and the physician assistant have different primary specialty. Neither have a subspecialty assigned to their name.
PLEASE, ANY HELP WITH THIS WILL BE GREATLY APPRECIATED.
BUT I ALSO NEED TO KNOW WHERE THIS INFORMATION IS DOCUMENTED AS WELL SO THAT I CAN FORWARD THIS TO MY SUPERVISOR AND THE PHYSICIAN THAT I WORK FOR.