It can make sense to add a midlevel provider to a practice, but midlevels aren't for everyone.
This article will outline the steps you need to take before-and after-you decide to hire a midlevel.
Begin by checking out state regulations and reimbursement rules for midlevel providers. It's important to find out what clinical services a PA or NP can provide and how much supervision is required. For example, states vary in allowing midlevels to write prescriptions or order tests. Some states have stiff oversight regulations that require a physician to be on-site whenever the midlevel is seeing patients. These variances also exist between a PA and NP, which may affect which one you decide to pursue.
Look at the numbers to determine whether adding a midlevel makes economic sense. Here are a few questions that need to be answered:
Potential code for prior authorizations on AMA CPT Editorial Panel meeting agenda
March 28th 2024"Good public and economic policy must align costs, benefits, and incentives; currently, all costs are incurred by physician practices, and all financial savings and benefits from prior authorization accrue to health insurance plans, leading to perverse incentives,” says Alex Shteynshlyuger, MD.
How to code for removal of a bladder calculus via a Mitrofanoff
March 22nd 2024"Per CPT coding instructions, when procedures or services performed by physicians do not have a valid or descriptive CPT or Healthcare Common Procedure Coding System (HCPCS) code, the service should be reported using an unlisted code," write Jonathan Rubenstein, MD, and Mark Painter.