tci ED Coding & Reimbursement Alert - 2000 Issue 8

Get Paid for NP and PA Services

Emergency department (ED) coders must know the rules and regulations associated with nurse practitioners (NPs) and physician assistants (PAs) to be properly reimbursed for their services. From a technical coding standpoint, NPs and PAs are not that different from doctors. They can perform the same procedures and services, and a level five evaluation and management (E/M) code (99285) is always a level five, no matter who does the work. Documentation requirements are just as stringent for everyone.But in some ways, coders and billers must treat them differently, according to Caral Edelberg, CPC, CCH-P, president of Medical Resource Management...

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