QUESTIONS / SUPERVISION AND DELEGATION
How to supervise NPs, PAs or RNs?
Nurse practitioners and physician assistants let a practice see more patients. But the rules on who supervises whom, what services can be delegated, and how their services are billed, change from state to state and payer to payer.
WHAT YOU’RE ASKING
What supervision or delegation do our NPs and PAs need, and are we billing for their services correctly?
WHY IT MATTERS?
State law sets each license's scope of practice and the supervision it requires, and the rules differ for nurse practitioners, physician assistants and registered nurses. What may be delegated, to whom, and with what oversight is also set by state law and by your practice's own written protocols.
Billing has its own rules. Medicare and other payers set conditions, including the required level of supervision, for billing these services under a physician's number. When those conditions aren't met, the service has to be billed differently, or may not be billable at all.
WHAT WE REVIEW
Collaboration and practice agreements
State requirements by license type and experience
Delegation and prescribing authority
Incident-to and split or shared billing
Payer credentialing for each provider
Policies that document who supervises whom
WHAT YOU LEAVE WITH
Supervision and delegation arrangements that match current law, a billing approach that matches how care is actually delivered, and a plan to fix any gaps.
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