In the past, Medicare required modifiers such as AN or AS to identify services involving a physician extender. Medicare carriers have abandoned the use of modifiers for physician extenders and now require physician assistants and nurse practitioners to obtain and use NPI's to identify their services. FAQ 12.
https://www.acep.org/content.aspx?id=30478
In 2011, America’s. community hospitals employed approximately 226,000 physicians, including. interns and residents, and that number is growing rapidly. Strong leadership. teams and hospital-physician partnerships are needed to guide the complex. changes coming as a result of health reform.
http://www.aha.org/content/13/13-PhysNonPhys.pdf
An NPP in the ED is defined by Medicare as either a nurse practitioner (NP) or a physician assistant (PA). Of note, there is no agreed upon terminology that encompasses NPs and PAs in the ED. In grouping these providers, the DEA uses the term midlevels while the Federal agencies use a variety of references.
https://www.acep.org/content.aspx?id=30478
The antitrust law gives nonphysician practitioners the power to enter healthcare provider markets free of unreasonable commercial obstruction; nonetheless, reasonable and lawful obstructions continue to exist that may frustrate the nonphysician practitioner's professional activities.
https://www.healthlawyers.org/Members/PracticeGroups/PO/Pages/NonphysicianPractitionersHLWarticle.aspx
Medicare will pay for ED E/M services for specific non-physician practitioners, i.e., nurse practitioner (NP) and physician assistant (PA). The services provided must be medically necessary and the service must be within the scope of practice for a non-physician practitioner in the State in which he/she practices.
https://www.acep.org/content.aspx?id=30478
Consider, for example, the hospital emergency department. In addition to emergency physicians, the hospital or emergency department physicians' group may employ any of the following to supplement the work of physicians: physicians' assistants, nurse practitioners, and social workers.
https://www.healthlawyers.org/Members/PracticeGroups/PO/Pages/NonphysicianPractitionersHLWarticle.aspx
There is no generally accepted definition of the term nonphysician practitioner, and the term has a fluid meaning that is often applied to other disciplines such as dentists, podiatrists, and chiropractors.
https://www.healthlawyers.org/Members/PracticeGroups/PO/Pages/NonphysicianPractitionersHLWarticle.aspx
Physicians and EPs have a number of competing. demands related to their information technology systems, new rules for electronic. claims submission and other administrative transactions (5010), movement to a. new coding system for payment (ICD-10), and the introduction of other health. reform initiatives.
http://www.aha.org/content/13/13-PhysNonPhys.pdf
In December 2012, Congress passed the American Taxpayer. Relief Act (ATRA), which prevented a 26.5 percent cut to Medicare physician. payments that was scheduled to take effect Jan.1, and provided physicians with. a zero percent update for the remainder of the year. The cost of this payment fix. was $25 billion.
http://www.aha.org/content/13/13-PhysNonPhys.pdf
The nonphysician practitioners addressed in this article, however, will be those that are listed in the attached chart (click here to view the chart). The scope of practice, licensure, and credentialing requirements for each NPP are established by the law of the jurisdiction in which the NPP practices.
https://www.healthlawyers.org/Members/PracticeGroups/PO/Pages/NonphysicianPractitionersHLWarticle.aspx
definition of non physician practitioner
A nonphysician practitioner is the term has a fluid meaning that is often applied to other disciplines such as dentists, podiatrists, and chiropractors. The non physician practitioner term  has a fluid meaning that is often applied to other disciplines such as dentists, podiatrists, and chiropractors.