tci Medicare Compliance & Reimbursement - 2004 Issue 43

Long-term Care: New NPP Rule A Boon For SNFs, Too

Rule could increase revenue for SNFs and improve access to care.Come November, Medicare will cover something it hasn't before: Medically necessary visits by non-physician practitioners (NPPs) prior to an initial visit by the physician.  Old way: Until the Centers for Medicare & Medicaid Services issued Change Request 3096, the agency admits that its definition of "initial" physician visit was less than clear. That in turn meant that NPPs, namely physician assistants and advance practice nurses, weren't allowed to see patients before an "initial" visit by a physician, even if such care was medically necessary. New and...

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