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N.P. established visits?

  1. #1
    Question N.P. established visits?
    Medical Coding Books
    Can a N.P. see established patients?

  2. Default
    Nurse Practitioner I guess? Yes, of course they can see established patients

  3. #3
    Default
    If it is a Nurse Practitioner - yes they could evaluate established patients.

    Nurse practitioners and physician assistants are referred to as Mid-level providers and they do evaluate established patients

    Hope this helps you,

    Thank You,

    Purnima S, CPC

  4. #4
    Question Nurse Practioner
    Quote Originally Posted by sparkles1077 View Post
    Nurse Practitioner I guess? Yes, of course they can see established patients
    Thank you for your reply. The nurse practioner sees established patients but we can't bill for those codes only the 99211 because doesn't need the presence of the physician. If I get fee ticket/superbill with the nurse's name then I can't bill that visit right?

    Thanks,

  5. #5
    Question
    Quote Originally Posted by PURNIMA View Post
    If it is a Nurse Practitioner - yes they could evaluate established patients.

    Nurse practitioners and physician assistants are referred to as Mid-level providers and they do evaluate established patients

    Hope this helps you,

    Thank You,

    Purnima S, CPC



    Thank you for your reply. The nurse practioner sees established patients but we can't bill for those codes only the 99211 because doesn't need the presence of the physician. If I get fee ticket/superbill with the nurse's name then I can't bill that visit right?

    Thanks,

  6. #6
    Location
    Evansville Indiana
    Posts
    451
    Default NP
    Okay the first question is are you billing under the NP's number or the doctor's? If you are billing under the NP, you would need to look up her scope of practice for your state, but if allowed she can see patients with or without the physician in the office and she can bill any E&M or procedure that is allowed under her scope of practice. If you are billing under the doctors number and are billing to a payer that follows Medicare's "incident to" guidelines then you must follow those guidelines, no new patients, no preventative, physician must be in office suite etc. Go to CMS's website and google "incident to" and you will be given oodles of info on how to bill an NP correctly.

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