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Nurse Practitioner License-Help

  1. #1
    Default Nurse Practitioner License-Help
    Medical Coding Books
    I was asked this question:

    Nurse Practitioner works in a Pediatric Clinic, the personnel manager finds out that the NP license are expired and has been for about 2 months now. The NP has been seeing patients.

    Can they bill her claims?
    The charts she hasn't signed yet, can the supervising physician (owner) sign her charts for her?

    How do they need to handle this situation as in billing, unsigned charts, ect.,

    Is there any written compliance rules for this type situation?

    How does the clinic need to handle the NP and this issue?

    Thanks

  2. #2
    Location
    Columbia, MO
    Posts
    12,531
    Default
    if her license has expired, that is her license to practice medicine not her credentialling to be able to bill payers. If she has no license to practice then she cannot see patients, and you cannot bill her services. Your physician should not even sign off on the charts. You need to think about his mal practice carrier. What happens to your rates if the carrier is informed that an unlicensed practicioner is seeing patients and such and he is essentially sanctioning this practice. As far as written rule, go to your state medical association and find out about providers practicing medicine without a valid license. As a patient how wold feel if you found out you paid a bill for an unlicensed provider to see you? A lawyer can further assist you in this manner.
    Last edited by mitchellde; 05-12-2011 at 09:37 AM.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Location
    North Carolina
    Posts
    3,126
    Default
    Quote Originally Posted by mitchellde View Post
    if her license has expired, that is her license to practice medicine not her credentialling to be able to bill payers. If she has no license to practice then she cannot see patients, and you cannot bill her services. Your physician should not even sign off on the charts. You need to think about his mal practice carrier. What happens to your rates if the carrier is informed that an unlicensed practicioner is seeing patients and such and he is essentially sanctioning this practice. As far as written rule, go to your state medical association and find out about providers practicing medicine without a valid license. As a patient how wold feel if you found out you paid a bill for an unlicensed provider to see you? A lawyer can further assist you in this manner.
    I Agree!

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