On the surface, it sounds like having non-participating provider status with Medicare is a good thing. But for NPs, is it really?
Medicare requires NPs enrolled with Medicare as a provider to accept assignment. That the rule had always taught me that NPs could not opt for “non-participating” provider status. Recently though, I’ve heard from several who are enrolled with a “non-participating” status. But is this a good thing for NPs?
That’s why I sat down with Don Self to review the whole issue and discover what advantages there are for Nurse Practitioners who opt for non-participating status.
In this video podcast, Don talks about just what it is and what, if any advantage there is for NPs. Take a list, as this may not be what you think.
Topic Resources
- NPBusiness YouTube Channel
- Medicare Opt-Out Video
- Don Self website
- Don Self YouTube Channel
- MLN901623 APRN Medicare Guidelines for Billing
More Resources
- Catch up on all the NP Business Matters podcasts here.
- Check out the Nurse Practitioners in Business Facebook Group
- Become a Member of the NPBO™
- Ready to start your own practice?
Connect with the Podcast
You can find the NP Business Matters Podcast on popular podcasting platforms:
- Apple Podcast
- Stitcher
- Spotify
- Google Podcast
- iHeartRadio
- Amazon Music/Audible
- Pandora
- And others. You’ll also find us in your favorite podcast player.
And as always, please subscribe, leave a rating, and share with your colleagues.
Your Turn
Let a comment below on this episode and feel free to ask any additional questions you may have for future episodes.
I have questions regarding billing for a non-par provider prior to her becoming a par-provider with Medicare, can she still bill the dates prior to her effective date of becoming a par-provider with Medicare?
I just answered your question on YouTube. I’m not a biller (disclaimer), but I don’t see why not. She has a PTAN I assume and has been billing MCR. In general, CMS allows 1 year of back billing from the time you apply.