Updated TMA Guide Helps Your Practice Navigate Utilizing NPPs
By David Doolittle

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When properly supervised by a physician, nonphysician practitioners (NPPs) can be important parts of the medical care team. 

However, because state laws governing physician delegation and supervision can be tricky to navigate, practices must stay up to date to avoid potential penalties. 

That’s why the Texas Medical Association has updated its best-selling publication, Nonphysician Practitioners: Hiring, Billing, and Delegation of Duties for a Nonphysician Practitioner

The updated third edition provides the most recent, comprehensive information about the qualifications, supervision requirements, and practical aspects of contracting, credentialing, and billing for NPPs. 

Topics covered include: 

  • Specific requirements for NPPs, including education and licensure;
  • Considerations when hiring an NPP – either as an employee or independent contractor – and due diligence with background screening and confirming qualifications;
  • Legal liability of physicians related to NPPs;
  • NPP scope of practice limitations;
  • Delegation and supervision of duties; and
  • Billing for NPP services. 

The publication also covers House Bill 278, passed during the 2019 Texas Legislature, which outlined how physicians supervise prescriptive authority agreements with advanced practice registered nurses (APRNs). TMA supported the legislation, which became law. 

The guide also includes credentialing information, sample job descriptions, waiver requests, billing guidelines, case studies, and more. 

Nonphysician Practitioners: Hiring, Billing, and Delegation of Duties for a Nonphysician Practitioner has been accredited for 4.5 AMA PRA Category 1 Credits™, and 4.5 Ethics. 

In addition, Texas Medical Liability Trust policyholders who complete this program may be eligible for a 3% premium discount that will be applied to their next eligible policy period. 

Like most of TMA’s CME programs, Nonphysician Practitioners: Hiring, Billing, and Delegation of Duties for a Nonphysician Practitioner is free for TMA members and their practice staff thanks to a generous sponsorship by the Texas Medical Association Insurance Trust

Last Updated On

August 24, 2020

Originally Published On

August 24, 2020

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David Doolittle

Editor

(512) 370-1385

Dave Doolittle is editor of Texas Medicine and Texas Medicine Today. Dave grew up in Austin, where he attended culinary school as well as the University of Texas. He spent years covering Central Texas for the Austin American-Statesman newspaper. He is the father of two girls, a proud Longhorn, and an avid motorsports fan.

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