The future of nursing: Leading change, advancing health.
Medicaid benefits: Nurse practitioner services.
- Yee T.
- Boukus E.
- Cross D.
- Samuel D.
Implementing health care reform: Issues for nursing.
- •All NPs obtaining their own National Provider Identifier (NPI) number.
- •All NPs obtaining their own Drug Enforcement Agency (DEA) number.
- •Direct reimbursement for NP services from insurance companies billed under the NP's name and National Provider Identifier (NPI) number.
- •Comprehensive documentation of NP care delivery to support reimbursement for and measurement of NP contributions to care (Craig, 2014).
- •The same reimbursement for NPs, physicians, and other health care providers when they perform the same service.
- •Legislation and policies that require state programs to reimburse NPs commensurate with physicians and other health care providers.
- •Enforcement of nondiscrimination regulations established in the Patient Protection and Affordable Care Act mandating that insurance companies credential and empanel NPs and reimburse NP services.
- •Development of partnerships between NPs and state insurance commissioners to support increased NP payment and recognition as credentialed providers.
- •Inclusion of NPs on commercial and other payers' advisory and credentialing committees.
- •Recognition of the ability of NPs to lead a Health Care/Medical Home (National Association of Pediatric Nurse Practitioners, 2016) or Accountable Care Organization.
- •Continuing research to demonstrate the cost-effectiveness, competency, and quality outcomes of NP practice.
- Implementing health care reform: Issues for nursing.2010 (Retrieved from)
- Maximizing reimbursement: What nurse practitioners need to know.The Nurse Practitioner. 2014; 39: 16-18
- Insurers' contracting policies on nurse practitioners as primary care providers: Two years later.Policy, Politics, & Nursing Practice. 2008; 9: 241-248
- The future of nursing: Leading change, advancing health.2010 (Retrieved from)
- Medicaid benefits: Nurse practitioner services.2015 (Retrieved from)
- States with the least restrictive regulations experienced the largest increase in patients seen by nurse practitioners.Health Affairs (Project Hope). 2013; 32: 1236-1243
- Health care economics and the advanced practice registered nurse.Journal of Pediatric Health Care. 2014; 28: 466-469
- NAPNAP position statement on pediatric health care/medical home: Key issues on care coordination, transitions, and leadership.Journal of Pediatric Health Care. 2016; 30: 17A-19A
- Advanced practice nurse outcomes 1990-2008: A systematic review.Nursing Economic$. 2011; 29 (quiz 251): 230-250
- How does provider supply and regulation influence health care markets? Evidence from nurse practitioners and physician assistants.Journal of Health Economics. 2014; 33: 1-27
- Are you documenting shared/split visits correctly?.Medical Economics. 2013; 90: 50-51
U.S. Balanced Budget Act, 42 U.S.C. § 1385l(a)(1)(O) (1997).
- Primary care workforce shortages: Nurse practitioner scope-of-practice laws and payment policies (National Institute for Health Care Reform Research Brief No. 13).2013 (Retrieved from)
Adopted by the National Association of Pediatric Nurse Practitioners' Executive Board on January 13, 2016. This document replaces the 2009 NAPNAP Position Statement on Reimbursement for Nurse Practitioner Services.
All regular position statements from the National Association of Pediatric Nurse Practitioners automatically expire 5 years after publication unless reaffirmed, revised, or retired at or before that time.
Correspondence: NAPNAP National Office, 5 Hanover Square, Suite 1401, New York, NY 10004.