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Full practice authority only bills for 85%?

NP   (396 Views | 3 Replies)

4,176 Profile Views; 125 Posts

Illinois now has full practice authority with need to collaborate only for controlled substances. Yet, Nurse Practitioners can still only bill for 85% when compared to physicians. This part really gets to me. If we are diagnosing and treating the same problems, then why don’t we get to bill the same amount? Are there any other states that allow for 100% billing?

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djmatte has 7 years experience as a ADN, MSN, RN, NP.

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7 hours ago, nurselove757 said:

Illinois now has full practice authority with need to collaborate only for controlled substances. Yet, Nurse Practitioners can still only bill for 85% when compared to physicians. This part really gets to me. If we are diagnosing and treating the same problems, then why don’t we get to bill the same amount? Are there any other states that allow for 100% billing?

State doesn't set those up from my understanding. Federal law and insurance company policy does. Adjust your expectations and move on. Or just don't bother with insurance and go with a direct primary care model.

Edited by djmatte

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Numenor has 8 years experience as a MSN, NP and specializes in Internal Medicine.

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On 4/3/2020 at 1:35 PM, nurselove757 said:

Illinois now has full practice authority with need to collaborate only for controlled substances. Yet, Nurse Practitioners can still only bill for 85% when compared to physicians. This part really gets to me. If we are diagnosing and treating the same problems, then why don’t we get to bill the same amount? Are there any other states that allow for 100% billing?

This is a federal thing, get used to it.

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ghillbert has 20 years experience as a MSN, NP and specializes in CTICU.

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CMS regulations

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