This question came in from an NP in Texas:
I am an NP (in Texas) and considering my own geriatric consulting company. My question is since I will not be providing direct patient care do I still need to be in a collaborative agreement w/a physician? I will be doing assessments, review of medical records but will refer (at least for the beginning) all medical issues to the client’s healthcare provider.
My thought is no, however, I advised she contact her BON. Any other thoughts?
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As I understand this, in Texas the ability to diagnosis and prescribe is delegated by a physician. Since you will not be prescribing, this is not a concern. However, how will you bill for your services? How or who will be consulting you? Will you be making medical diagnosis? Meaning, will you be using ICD codes for billing? If yes then you are diagnosising and that requires a collaborative. You need a collaboartive if you are billing Medicare.
How are you paid for your services? the patient or the facility?
CNAP is a great resource to find your answer.
all the best.
Susan