New Reimbursement Policy: Nurse Practitioner and Physician Assistant Services - Professional
Empire BlueCross BlueShield (“Empire”) will allow reimbursement for services provided by Nurse Practitioner (NP) and Physician Assistant (PA) providers. Unless provider, state, federal, or CMS contracts and/or requirements indicate otherwise, reimbursement is based upon all of the following:
- The service is considered a physicians’ service.
- The service is within the NP or PA provider’s scope of practice.
- A payment reduction consistent with CMS reimbursement.
Services furnished by the NP or PA should be submitted with their own NPI.
June 2020 Empire Provider News