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02/18/2010

Comprehensive Error Rate Test (CERT) audits show it's not just physicians who are responsible for the error rate from more doubling from 2008 to 2009. Non-physician practitioners (NPPs) played a role in the 7.8% fee-for-service error rate, too. 

02/18/2010

A non-physician practitioner (NPP) can be a better hire than a physician when you need flexibility and your state laws don't limit their scope of practice, experts say. Once you pass this test, the benefits of picking an NPP over a physician become more obvious, she says. Here are four reasons to go the mid-level route. 

02/18/2010

Non-physician practitioners (NPPs) billed far fewer high-level E/M visits than physicians did from 2006 to 2008. The trend affected both new and established patient visits, according to an NPP Report analysis of CMS claims data. Not surprisingly, utilization for established visits is consistently higher than for new visits, which pay better but have more demanding documentation requirements.

02/18/2010

This week's question is answered by Margie Scalley Vaught, CPC, coding content specialist for DecisionHealth.  

Q. My doctors want to know when our nurse practitioner can bill a consult. We know Medicare no longer covers consults (99241-99245), but we'd like to know how to bill her consults to our private payers. 

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