Results 1 to 4 of 4

Billing for services provided by NP students

  1. #1
    Question Billing for services provided by NP students
    New Call-to-action
    I am hoping someone can help me with this one.

    I did an audit of a provider and discovered they had a NP student in the office a couple days a week seeing patients. I told them we can not bill for services provided by a student and we need to refund anything that was paid on these services that were blind billed as if the doctor provided the service.

    My doctor was ok with this, another doctor in the office (different practice they just share the same space) jumped all over me last week about this. He told me that I was costing them a lot of money and don't know what I am talking about. He states that NP students are the same as residents.

    My thoughts, which I somehow managed to keep to myself, are if you want to commit fraud that is on you, but any doctor working for us is going to follow the rules. I have teaching physicians, I have a lot of residents. I do not have NP students and I do not know all the ins and outs to what they can and can not do. The CMS guidelines seem pretty clear in that anyone still classified as a student can not be treated the same as a resident. Is there anything else out there that states otherwise? I have emailed the AANP but have not received a response yet.


    Laura, CPC, CPMA, CEMC

  2. #2
    Milwaukee WI
    Default NP student is NOT licensed
    A resident is a licensed physician who is still continuing postgraduate training.

    An NP student is NOT yet licensed to practice independently of a physician.

    Definitely NOT the same thing as a resident.

    Your state licensing board may be able to give you additional guidance.

    Now, to further complicate matters ... we sometimes have a licensed NP who is getting ADDITIONAL specialty training ... that person IS billable EXCEPT for procedures/services that are part of his/her advanced training. (More akin to our fellows than to students.) But I don't think that's the scenario you are dsecribing.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Louisville, KY
    Nope. Your providers' decision to utilize NP Students and failure to pro-actively address this with Coding is what is costing money to the practice. The supervision guidelines are not the same for students as for Residents. I've attached the Medicare Teaching Guidelines for your assistance.

    Good luck to you.

  4. #4
    Default Thank you so much
    It is nice to know I'm not crazy!

    The really scary thing is the doctor that stated this is a medical director in addition to his private practice.

    Laura, CPC, CPMA, CEMC

Similar Threads

  1. inpatient services provided by a neuropsychologist
    By akj in forum Employment General Discussion
    Replies: 0
    Last Post: 08-14-2015, 10:55 AM
  2. Coding for services provided by a Registered Dietician
    By gedavis in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-23-2011, 02:05 PM
  3. Services Provided
    By NESmith in forum Billing/Reimbursement
    Replies: 0
    Last Post: 11-02-2010, 12:53 PM
  4. ED Services Provided to Deceased Patient
    By aschaeve in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 10-21-2010, 11:01 AM
  5. 99051 Services provided in addition to basic services
    By vstoots in forum Billing/Reimbursement
    Replies: 2
    Last Post: 10-05-2010, 08:00 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.