Medical Billing Forum

General Category => General Questions => Topic started by: jeanneh1007 on March 31, 2014, 06:07:41 PM

Title: Nurse Practitioner Billing
Post by: jeanneh1007 on March 31, 2014, 06:07:41 PM
I have a nurse practitioner who is working in a mental health facility.  She want to do her own billing for her services at the facility.  The thing is her collaborative agreement is with a psychiatrist and she is seeing the patients for coughs, colds, and ailments not related to mental health.  This is being done in the state of NJ.  I looked up the state law and the law is very broad with who the collaborative agreement can be with.  She is telling me she is ok to have the psychiatrist as her collaborator.  The thing is to get her credentialed with insurance companies they don't want to credential her because the collaborator is not an MD.  Has anyone run into anything like this with a nurse practitioner?  Any comments/advise would be great! 
Title: Re: Nurse Practitioner Billing
Post by: Merry on March 31, 2014, 06:26:22 PM
A psychiatrist is an MD so confused. 
Not sure about rules in N.J. Someone will answer who knows the rules for N.J.
Title: Re: Nurse Practitioner Billing
Post by: PMRNC on March 31, 2014, 06:35:30 PM
It's not the collaborative agreement. It's scope of license. If she is going to see patients with the psychiatrist she can not arbitrarily step in and do MD billing for non related care.

"The service provided must be "an integral, although incidental part of the physician's professional service"