Advanced Practice Registered Nurses, Anesthesiologist ...

1 Page 1 of 17 Advanced Practice Registered NURSES, Anesthesiologist ASSISTANTS, AND PHYSICIAN ASSISTANTSICN MLN901623 April 2020 PRINT-FRIENDLY VERSIONThe Hyperlink Table, at the end of this document, gives the complete URL for each codes, descriptions and other data only are copyright 2019 American medical Association. All Rights Reserved. Applicable FARS/HHSAR apply. CPT is a Registered trademark of the American medical Association. Applicable FARS/HHSAR Restrictions Apply to Government Use. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly Practice medicine or dispense medical services.

2 The AMA assumes no liability for data contained or not contained BookletAdvanced Practice Registered Nurses, Anesthesiologist Assistants, and Physician AssistantsICN MLN901623 April 2020 Page 2 of 17 TABLE OF CONTENTS ..Enrollment and Practice Information3 Glossary3 Providers Enrolling in the Medicare Program5 Certified Registered Nurse Anesthetists (CRNAs) Qualifications and Billing Guidelines5 Anesthesiologist Assistants (AAs) Qualifications and Billing Guidelines7 Nurse Practitioners (NPs) Qualifications and Billing Guidelines8 Certified Nurse-Midwives (CNMs) Qualifications and Billing Guidelines10 Clinical Nurse Specialists (CNSs) Qualifications and Billing Guidelines12 Physician Assistants (PAs)

3 Qualifications and Billing Guidelines13 Resources15 MLN BookletAdvanced Practice Registered Nurses, Anesthesiologist Assistants, and Physician AssistantsICN MLN901623 April 2020 Page 3 of 17 ENROLLMENT AND Practice INFORMATIONThis booklet outlines the required healthcare practitioner qualifications and coverage, billing, and payment criteria for Medicare services furnished by: Advance Practice Registered Nurses (APRNs), including: Certified Registered Nurse Anesthetists (CRNAs) Nurse Practitioners (NPs) Certified Nurse-Midwives (CNMs) Clinical Nurse Specialists (CNSs) Anesthesiologist Assistants (AAs) Physician Assistants (PAs)GLOSSARYR easonable and NecessaryReasonable and necessary is a standard applied to every request for payment (bill) which limits Medicare payment to covered services addressing and treating the patient s complaints and symptoms.

4 Services must meet specific medical necessity requirements contained in the statutes, regulations, manuals, and defined by National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs). For every service billed, you must indicate any specific signs, symptoms, or patient complaints that make each service reasonable and means the provider or supplier: Accepts the Medicare-allowed amount as payment in full for their services May not bill or collect from the patient any amount other than unmet copayments, deductibles, and/or coinsurance CollaborationCollaboration occurs when NPs and CNSs: Work with one or more physicians to deliver health care services within the scope of their professional expertise Furnish medical direction and appropriate supervision as required by State law where they furnish services (Medicare does not require the collaborating physician s presence when you furnish services or independently evaluate patients)

5 MLN BookletAdvanced Practice Registered Nurses, Anesthesiologist Assistants, and Physician AssistantsICN MLN901623 April 2020 Page 4 of 17 Physician ServicesThe professional services performed by a physician or physicians for a patient including diagnosis, therapy, surgery, consultation, and care plan AvailableFor purposes of supervising CRNAs and AAs, Medicare considers an Anesthesiologist immediately available when they are: Physically located within the same area as the CRNA or AA Not otherwise occupied in a way that prevents an immediate hands-on interventionIncident ToIncident to services or supplies are those furnished as an integral, although incidental, part of the physician s personal professional services in the course of diagnosis and treatment.

6 Therefore, physicians, NPs, CNMs, CNSs, and PAs may have services and supplies furnished incident to their professional service. NPs, CNMs, CNSs, and PAs may enroll in, and get payment from, Medicare for incident to services they furnish and for services that other non-physician practitioners (NPPs) furnish incident to their own professional services. States cover and pay under the incident to provision, when the services and supplies comply with their State law and meet all the following requirements: Services and supplies are an integral part of the patient s normal course of treatment when the physician or other listed practitioner personally performed an initial service and remains actively involved in the course of treatment.

7 Services and supplies are commonly furnished without charge or included in the physician s or other listed practitioner s bill. Services and supplies are an expense to the physician or other listed practitioner. Services and supplies are commonly furnished in the physician s or other listed practitioner s office or clinic. The physician or other listed practitioner furnishes direct supervision for incident to services and only the physician or other listed practitioner who directly supervises the incident to services may bill them. Medicare requires general physician or other listed practitioner supervision when clinical staff furnish services and supplies incident to Transitional Care Management (TCM) and Chronic Care Management (CCM).

8 However, only the supervising physician or other listed practitioner may bill Medicare for services and supplies furnished incident to TCM and CCM BookletAdvanced Practice Registered Nurses, Anesthesiologist Assistants, and Physician AssistantsICN MLN901623 April 2020 Page 5 of 17 PROVIDERS ENROLLING IN THE MEDICARE PROGRAMAPRNs, AAs, and PAs who care for Medicare patients must enroll in the Medicare Program. You must enroll regardless of whether you are a participating provider or you bill services under your National Provider Identifier (NPI) or the supervising physician s NPI. To get Medicare payment you must:1. Register for an account in the Identity & Access Management (I&A) System2.

9 Apply for an NPI in the National Plan & Provider Enumeration System (NPPES)3. Enroll in the Medicare Program through the Provider Enrollment, Chain, and Ownership System (PECOS)4. Enroll in the Medicare Program via a paper CMS-855 applicationCERTIFIED Registered NURSE ANESTHETISTS (CRNAs) QUALIFICATIONS AND BILLING GUIDELINES You refers to CRNAs in this section. For complete details on CRNA billing and payment, refer to Sections 50 and 140 of Chapter 12 of the Medicare Claims Processing QualificationsYou must: Be licensed as a Registered professional nurse by the State where you Practice Meet licensure requirements the State imposes on non-physician anesthetists Have graduated from a nurse anesthesia educational program that meets the standards of the Council on Accreditation of Nurse Anesthesia Educational Programs (COA) Meet one of these criteria.

10 Passed a certification examination from the National Board of Certification and Recertification for Nurse Anesthetists Graduated from one of the nurse anesthesia educational programs that meets the standards of the COA, and passed the above certification examination within 24 months of graduationMLN BookletAdvanced Practice Registered Nurses, Anesthesiologist Assistants, and Physician AssistantsICN MLN901623 April 2020 Page 6 of 17 CRNA Condition of Participation in the Medicare ProgramThese conditions apply: You are legally authorized and qualified to furnish the services in the State where you perform them Services are not otherwise precluded due to a statutory exclusion, and the services are reasonable and necessary When you administer anesthesia in a hospital, the operating practitioner performing the procedure or an Anesthesiologist immediately available if needed must supervise you unless the State where you Practice opted out of the supervision requirements The operating practitioner performing the procedure must supervise you when you administer anesthesia in a Critical Access Hospital (CAH) or Ambulatory Surgical Center (ASC)