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Practice Management Curriculum Effectively Integrating Non ...

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  • We use the term NPP throughout these slides since it is Medicare’s term – but physician extenders and mid-level providers are also commonly used and can be used interchangeably. We will focus our discussion on nurse practitioners and physician assistants. Clinical nurse specialists are commonly used in the hospital setting, less frequently used in office practice. Licensure and scope of practice are generally more limited for clinical nurse specialists, and credentialing and reimbursement is difficult in many (most) states.
  • Cost effective way for patients to receive quality care Allow more flexibility in scheduling patient visits, more consistent schedule than MDs
  • Survey data includes 35 practices. This is the second year that we have noted that physicians in practices that have non-physician practitioners are able to see significantly more new patients that physicians without NPPs.
  • Coverage for MD vacations – improved continuity of care Review/ discuss John’s pro forma – should we include as a slide?? Or a handout??
  • ?? ONS
  • Medical model – training is more similar to physician training; training is clearly as an assistant to the MD Nursing model – many NPs having nursing backgrounds; all are trained with emphasis on patient education
  • More payer info later in the talk
  • Patient education – some practices have shifted primary patient education duties (chemotherapy teaching, research protocol teaching) to an NP rather than nurse because NPs can appropriately bill a higher level of service
  • Slide 36: Services can be considered incident to when physician performs an initial service and subsequent services of a frequency which reflects his/her active participation in and management of course of treatment
  • AAPA – American Academy of Physician Assistants
  • Drugs are paid at ASP + 6 whether the service is billed under the MD # or the NPP #
  • Remember that incident to is a Medicare term and they may not know what it means

Practice Management Curriculum Effectively Integrating Non ... Practice Management Curriculum Effectively Integrating Non ... Presentation Transcript