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Neonatal Critical Cares services by NP/PA

Posted on June 11, 2018 by CPC Exam Medical Coding Updates

I am new to auditing neonatal critical care services and I am hoping there is someone who could answer a few questions for me.

1. Can neonatal critical care services be "shared visits" and billed under the MD’s name and NPI number?
2. If they can be shared doesn’t the MD need to document they portion of the visit and not just attest to the work and documentation done by the NP/PA?
3. Can NPs/PAs bill for neonatal critical cares services independently?

Any information anyone can shared on this topic would be greatly appreciated.

Anna Maria

Medical Billing and Coding Forum

NP/PA billing under MD

Posted on April 5, 2018 by CPC Exam Medical Coding Updates

Looking for help from all different states – I know the incident to guidelines and most commercial insurance may or may not follow Medicares guideline. Here iss the million dollar question –
1.) if the NP/PA is credentialed with Medicare/Medicaid and commercial insurance can you always bill under the MD (outside the incident to rules)
2.) If any one has documentation , please send.

I work for a large RCM company and providers are just billing under themselves as the supervising provider – I do not agree with this at all and when I address the issue to our (compliance person)they state do as the practice wants.

Thank you all

Medical Billing and Coding Forum

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Tag Archives: NP/PA

Neonatal Critical Cares services by NP/PA

NP/PA billing under MD