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Payment for np vs dr

  1. #1
    Question Payment for np vs dr
    Medical Coding Books
    I was wondering if anyone could tell me if you get paid less when billing an np w/sa modifier than you do when you bill under the dr?? Thanks

  2. #2
    Sioux Falls South Dakota
    Medicare only allows 85% of the physician fee schedule when services are performed by an NPP (nurse practitioner, PA, etc.). For other insurance companies, you would need to check your contracts. Some reduce, some don't.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

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