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Understanding Participating and Non-participating provider status for NPs

Nurse Practitioners in Business

On the surface, it sounds like having non-participating provider status with Medicare is a good thing. Medicare requires NPs enrolled with Medicare as a provider to accept assignment. But for NPs, is it really? That the rule had always taught me that NPs could not opt for “non-participating” provider status.

Medicare 221
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Supporting and advocating for APRNs

American Nurse

Expiring PHE waivers turn back the clock in some states Despite the proven value of advanced practice RN (APRN) care, the APRN role is at a crossroads. Depending on the state in which they practice, APRNs now may face more restrictions than during the PHE. Certain other restrictions also were lifted.

APRN 52
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Full Practice Authority: APRN Readiness, Barriers to Practice and Access in South Carolina

American Nurse

To prepare for the legislative initiative, the Coalition for Access to Healthcare Board conducted a survey of APRNs’ readiness to seek full practice authority as well as identify any perceived barriers to practice and access to care. The 2022 public health data paint a dismal picture for chronic disease management and outcomes ( Table 1 ).

APRN 52
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APRNs Can Provide Quality and Access to Care and Congress Needs to Let Them

Capitol Beat

State and federal waivers that have been active for almost three years have allowed Advanced Practice Registered Nurses (APRNs) to practice to the full extent of their education and clinical training. The bill represents huge progress for APRNs to continue to practice at the top of their license. With the recent introduction of H.R.

APRN 52
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The National Provider Identifier – Help Us Show the Value of Nursing

Capitol Beat

The NPI is a unique provider number assigned by the Centers for Medicare and Medicaid Services (CMS). An NPI is required to bill Medicare, Medicaid, and many private insurers. Advanced Practice Registered Nurses (APRNs) can use an NPI to bill directly.

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Why Nurse Practitioners are a Solution to Rural Healthcare Challenges

Health Leaders | Nursing

"There are many people who don't see a doctor or get healthcare on a regular basis, and when they are really sick, they go to the emergency room for their care," says April Kapu, DNP, APRN, ACNP-BC, FAANP, FCCM, FAAN , immediate past president of the American Association of Nurse Practitioners (AANP). "It Some barriers are being reconsidered.

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2023 Regulatory Advocacy Roundup

Capitol Beat

Not surprisingly, the main focus of advocacy is the federal Department of Health and Human Services (HHS) and its subagency, the Centers for Medicare and Medicaid Services (CMS). CMS’ definition of practitioner specifically includes any clinician (including APRNs) that is eligible to bill for a particular service.

APRN 73