Back to Search
Start Over
Analysis of dermatologic procedures billed independently by nonphysician practitioners in the United States
- Source :
- Journal of the American Academy of Dermatology. 88:e203-e209
- Publication Year :
- 2023
- Publisher :
- Elsevier BV, 2023.
-
Abstract
- Background Non-physician practitioners (NPPS), including nurse practitioners (NPs) and physician assistants (PAs) are expanding their scope of practice outside of primary care and performing more procedures in dermatology. Objective To understand the scope and geographic pattern of practice by NPs and PAs in dermatology in the US. Methods Cross-sectional retrospective cohort analysis of dermatology practices in the 2014 Medicare Physician/Supplier Procedure Summary Master File, which reflects Part B carrier and durable medical equipment fee-for-service claims in the US. Results Over 4 million procedures were billed independently by NPs and PAs, which accounts for 11.51% of all. Injection, simple repair, and biopsy were the most commonly billed by non-physician practitioners, but complex procedures were also increasingly billed independently by NPs and PAs. Proportions of their claims are higher in the East Coast, Midwest, and Mountain states. Limitations Data is at the state level, limited to Medicare beneficiaries, and doesn’t include billing incident-to physicians. Conclusions This study demonstrated the increasing scope of practice of NPs and PAs in dermatology, despite limited training and lack of uniform regulations. To ensure quality and safety of care, it is prudent to set benchmarks for proper supervision and utilization of procedures in dermatology.
- Subjects :
- Dermatologic Procedures
medicine.medical_specialty
Scope of practice
Scope (project management)
Nurse practitioners
business.industry
Retrospective cohort study
Dermatology
Primary care
Durable medical equipment
030207 dermatology & venereal diseases
03 medical and health sciences
0302 clinical medicine
Master file
030220 oncology & carcinogenesis
Family medicine
medicine
business
health care economics and organizations
Subjects
Details
- ISSN :
- 01909622
- Volume :
- 88
- Database :
- OpenAIRE
- Journal :
- Journal of the American Academy of Dermatology
- Accession number :
- edsair.doi.dedup.....9b413f7575ca8ce582f6f9a3db0ec9e7