AmandaW
Guru
Wanted some clarification to what I've read about NPPs (APN) billing initial visits in the hospital in Arkansas. Jurisdiction JH on Novitas.
I see where IF the Dr doesn't see the patient and perform his element of the note then it CAN'T be billed under the Dr but can be billed under the NPP's NPI. Is that true for initial visits? Can the APN bill that first initial consult/inpatient or Outpatient (like in Observation) or does the Dr have to first see the patient and establish a 'plan of care'? I'm seeing conflicting information. Also, could you please provide a link to this information?
I see where IF the Dr doesn't see the patient and perform his element of the note then it CAN'T be billed under the Dr but can be billed under the NPP's NPI. Is that true for initial visits? Can the APN bill that first initial consult/inpatient or Outpatient (like in Observation) or does the Dr have to first see the patient and establish a 'plan of care'? I'm seeing conflicting information. Also, could you please provide a link to this information?