In some of our hospitals I have noticed hospital based NP's on some of the units and some of the services. I know some of the other posters have experience with this, but I am wondering how it works in practice. Here is an article from advance:
It doesn't really go into the specifics of who they bill under or who the service falls under. What I can't understand is what makes this remotely cost effective for the hospital. If they assign the NP's to specific cardiologists then obviously they are not billing and this is essentially a loss. If you take 40 NP's x $100k for example that is a $4 million cost to the hospital. In an academic center it might make sense. Here you could stick the NP's under critical care and bill for services on surgical services. In a private setting this wouldn't work. Just looking for input.
David Carpenter, PA-C