Wiki Neonatal Critical Cares services by NP/PA

[amalberghini]

I am new to auditing neonatal critical care services and I am hoping there is someone who could answer a few questions for me.

1. Can neonatal critical care services be "shared visits" and billed under the MD's name and NPI number?
2. If they can be shared doesn't the MD need to document they portion of the visit and not just attest to the work and documentation done by the NP/PA?
3. Can NPs/PAs bill for neonatal critical cares services independently?

Any information anyone can shared on this topic would be greatly appreciated.

Anna Maria

 

[Cynthia Hughes]

Neonatal critical care services by NP/PA

Hello,

Here is a resource from the American Academy of Pediatrics that answers your questions - http://reader.aappublications.org/coding-for-pediatrics-2017-22nd-ed/456. In short, either the physician or the advanced practice professional (e.g., NP) provides the critical care service and reporting is based only on the work of the reporting individual per Medicare regulations which are followed by many Medicaid and private payer plans. I hope this is helpful.

Best wishes,
Cindy

 

[amalberghini]

Neonatal Critical Care Services

THANK YOU, this is exactly what I needed and was looking for.