Direct Billing and Payment for Non-Physician Practitioner Services Furnished to Hospital Inpatients and Outpatients
The intent of the change to this instruction is to clarify policy on how the professional services of nurse practitioners (NPs), clinical nurse specialists (CNSs) and physician assistants (PAs) should be billed to Medicare
when furnished to hospital patients (inpatients and outpatients). Accordingly, a paragraph containing outdated and erroneous policy that requires hospitals to bill for NP and CNS professional services will be removed.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 26, 2007
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