An NP is investigating regulations for third-party reimbursement. Which information will the NP most likely discover?
a. NPs are reimbursed when directly super-vised by a physician.
b. NPs only receive reimbursement when working in rural areas.
c. NPs are reimbursed at 85% of the physi-cian rate.
d. NPs are unable to be reimbursed by Med-icare and Medicaid.
ANS: C
In 1997, with the passage of the national reconciliation spending bill, NPs can be directly reim-bursed, regardless of geographic setting, at 85% of what a physician would have been paid (if the service is covered under Medicare Part B). NPs are able to have an independent practice and do not need direct supervision by a physician. NPs can receive reimbursement regardless of practice setting. NPs are able to be reimbursed by a variety of payer sources.
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