EHR and practice management for mental / behavioral health

In NC, NPs and PAs not able to bill E/M codes independently in 2013

This info comes courtesy of Jackson County Psychological Services (PIMSY’s very first client!):

According to the copy of the January 2013 special bulleting put out by DMA, and the fee schedules they release, Nurse Practitioners and Physicians Assistants are not able to bill E/M codes independently. It says PAs must code ‘incident to’ a physician and the NP may only provide the therapy codes – which doesn’t include any 90862 equivalent.

Here is a link to the bulletin where this info is pulled from:

http://www.ncdhhs.gov/dma/bulletin/pdfbulletin/0113_BHCode_Special_Bulletin.pdf

Here is a link to the Psych NP fee schedule for allowable codes:

http://www.ncdhhs.gov/dma/fee/mhfee/nurse_practitioner_010113.pdf

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Seth H.

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