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Video instructions and help with filling out and completing Become A Participating ProviderProvidersExcellus Nonphysician Health Care Professionals Billing Evaluation Nonphysician Health Care Professionals Billing Evaluation 11 Health Care Application Forms In PDFMs Word
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People also ask
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Which of these providers would be considered a qualified health care professional for the purpose of billing an evaluation and management service code?
In ance with CMS guidelines, the only qualified health care professionals that may report E/M services are nurse practitioners (NP), clinical nurse specialists (CNS), certified nurse midwives (CNM) and Physician assistants (PA), none of which are considered nonphysician health care professionals for purposes of ...
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What does it mean to be a licensed healthcare professional?
(1) The term “health care professional” means an individual licensed, registered, or certified under Federal or State laws or regulations to provide health care services.
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What is a qualified nonphysician healthcare professional?
Qualified nonphysician health care professional: A broad category of health care professionals who typically would not independently prescribe and manage, whose professional services are typically performed under the order and supervision of a physician or QHP, and whose scope of practice does not include E/M services ...
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What falls under healthcare professional?
This category includes physicians, physician assistants, registered nurses, veterinarians, veterinary technicians, veterinary assistants, dentists, midwives, radiographers, pharmacists, physiotherapists, optometrists, operating department practitioners and others.
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Who is a qualified non-physician healthcare professional?
NMPs consist of Physician Assistants (PAs), Nurse Practitioners (NPs) and Certified Nurse Midwives (CNMs). Billing guidance for Licensed Midwives (LMs) are also listed in this section.
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What is a qualified health care professional?
A “physician or other qualified health care professional” is an individual who is qualified by education, training, licensure/regulation (when applicable), and facility privileging (when applicable) who performs a professional service within his/her scope of practice and independently reports that professional service. ...
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Does UnitedHealthcare require a SA modifier?
Answer: For any UHC patient with an E/M service rendered by an NP, physician's assistant (PA), or clinical nurse specialist (CNS) on or after Sept. 1, 2017, you will be required to append modifier SA (Nurse Practitioner rendering service in collaboration with a physician).
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Which of the following is a qualified health healthcare professional?
Qualified health care professional includes, but is not limited to, (A) a licensed physician, (B) a licensed physical therapist, (C) a licensed occupational therapist, or (D) other licensed health care professional who performs specialty evaluations within the professional's scope of practice.
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