tci Part B Insider - 2006 Issue 8

Part B Coding Coach: Learn 4 Coding Secrets For Your Mid-Level Providers' Services

Tip:  All NPPs in your facility should have a Medicare PINDon't let the rules for coding non-physician practitioners' (NPPs) services bog you down in confusion. Follow these steps to file a compliant claim, and see why billing incident-to is not always your best reimbursement option. 1. Get to know your state scope of practice. Medicare will only reimburse NPP services if your state recognizes them, so familiarize yourself with your home turf's policies before memorizing Medicare's--because some states will impose stricter rules. This means getting familiar with your state's unique definition of nurse practitioner (NP), physician assistant (PA), clinical...

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