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Nonphysician Practitioners: Hiring, Billing, and Delegation of Duties for an NPP, Second Edition

Credit(s): 4.5 AMA PRA Category 1 Credits™ (Enduring)
4.5 TMLT
Course Number: PME-NPPPUB/GEN-E
Original Program Date: January 1, 2014
Access: Available until January 01, 2017
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    This second edition includes a framework of delegation and supervision of prescriptive authority to APRNs and PAs created during the 83rd legislative session.


    Many of the laws governing health care were enacted before the prevalence of nonphysician practitioners (NPPs). Although NPPs are now common in every setting, changes in legislation have taken years to draft, disseminate, and review.


    This publication provides information about the qualifications; supervision requirements; and practical aspects of contracting, credentialing, and billing for nonphysician practitioners.


    This publication will cover the following:


    • Qualification: Education and Licensure
    • Hiring an NPP
    • Legal Liability of Physicians
    • Scope of Practice
    • Delegation and Supervision of Duties
    • Prescriptive Authority
    • Billing for NPP Services 


    The guide also includes credentialing information, sample job descriptions, waiver requests, billing guidelines, case studies, and more.



    Released:        Feb. 15, 2012
    Reviewed:       Jan. 1, 2014
    Expires:           Jan. 1, 2017



    Target Audience
    This course is appropriate for physicians, residents, students, physician assistants, and advanced nurse practitioners in all specialties


    Course Objectives
    Upon completion of this enduring material, readers should be able to:


    1. Define the physician’s supervision requirements for nonphysician practitioners;
    2. Determine managed care credentialing requirements based on scope of provided services; and
    3. Implement and monitor billing processes that correspond to credentialing and supervision.


    Teaching Methods
    The participant is required to read the course in its entirety and complete an online test and course evaluation to obtain credit. 


    Return Policy
    No refunds or exchanges will be processed for this product.


    Sponsored by


    TMLT — Earn a 3-Percent Professional Liability Discount

    Physicians who are insured with the Texas Medical Liability Trust may earn a 3-percent discount for completion of 2.5 hours of approved risk management CME lectures. This discount will be applied to the physician’s next eligible policy.

    4.5 AMA PRA Category 1 Credits™ (Enduring)   The Texas Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    The Texas Medical Association designates this enduring activity for a maximum of 4.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    The Texas Medical Association requires physician to complete 70-percent of the test questions correctly to receive credit for this course.

    See TMA’s Web Site Privacy Statement

    4.5 ETHICS   This course has been designated for 4.5 credit(s) of education in medical ethics and/or professional responsibility.

    4.5 TMLT   Physicians who are insured with Texas Medical Liability Trust (TMLT) may earn professional liability insurance discounts by participating in approved continuing education activities. TMLT policyholders who earn 2.50 TMLT credits within 12 consecutive months will earn a 3-percent discount, which will be applied to their next eligible policy period.

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