Q. What is the ratio for the number of advanced practice registered nurses or physician assistants to whom a physician may delegate prescriptive authority?
A. Under the new rules that took effect in 2013, the answer depends on the practice setting. In facility-based hospital practices and in practices that serve medically underserved populations, there are no limitations. In all other practice settings, one physician may delegate to no more than seven full-time equivalent advanced practice registered nurses or physician assistants. This is a firm number; the waiver process for delegating more than the rule allows no longer exists.
To find out more:
- See TMA's Delegation of Duties webpage, where you will find links to the Texas Medical Board's FAQs about the new rules on prescriptive delegation and more.
- Read TMA's newly revised publication, Nonphysician Practitioners: Hiring, Billing, and Delegation of Duties for Nonphysician Practitioners, second edition, now available through the TMA Education Center.
Have NPP-related billing questions? See:
Published May 14, 2014
TMA Practice E-Tips main page
Updated Aug. 15, 2014