General Category > General Questions

billing nurse practitioners

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Merry:
I knew that you,  Richard, would come to the rescue. Thanks so much. Since I am in CA also, I am careful to post what I know for this state as everyone knows we do things so differently. :)

Merry

RichardP:
Merry - this type of question comes up quite a bit, and I refer the questioner to that link.  But the question of whether State law can supersede CMS regulations in this instance suddenly confronts me.  That is something I had not thought of before.  I know California allows us to bill like this.  Do you or anyone else know whether other State laws might forbid billing like this?

Michele:
We bill like that in NY too, but I don't personally do any now.  In the past, with the insurance carriers that did not credential NPs they just billed out services under the md.  I just had no place to refer them to as to why that is so. 

Merry:
I don't know the different state laws. I do know whichever law is more stringent is the one that "counts". How is that for legalese?

becca051:
this is all great info and i appreciate it! so lets say the physician isnt in that day and our nurse practitioner sees a patient with one of these insurances can we actually bill with the physicians name since he isnt in office that day? our auditor says that we would have to bill alond incident to guidelines in order to bill under the physicians name and he isnt always in the office.

thanks again!

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