WHAT IS A NURSE PRACTITIONER?
Nurse Practitioners (NPs), also called Certified Nurse Practitioners (CNPs) or Advanced Practice Registered Nurses (APRNs), have master’s degrees or doctorates and are nationally certified in their specialty areas. Just a few of the many services offered by NPs include performing and interpreting diagnostic tests; diagnosing and treating acute and chronic conditions such as diabetes, high blood pressure, infections and injuries; prescribing medications and other treatments; and managing patient care. Over 100 studies have proven that NPs provide safe, high-quality, cost-effective health care.
WHY REIMBURSEMENT MATTERS
Currently, many NPs bill under a different provider’s National Provider Identifier (NPI) number, often that of their collaborating provider. But in light of the passage of HB 793 during the 2018 General Assembly, many NPs will be applying for autonomous practice licensure – with some interested in opening their own practices. We want to guarantee that health plans will accept these NPs’ claims and compensate them directly. A simple code change will help all NPs be reimbursed for the services they provide.
LOWER BARRIERS TO PRACTICE = A BRIGHTER TOMORROW
The 2018 autonomous practice legislation has been an excellent step towards lowering barriers to NP practice in the Commonwealth – but in order for revolutionary new practice models to take effect, we need to ensure that nurse practitioners can be directly reimbursed, as to promote sustainable practice and access to care.