NP's in teaching setting

I work in a teaching hospital-though outpatient clinics- and have encountered a note from a "Resident Nurse Practioner" that is signed off by the actual Nurse Practioner and I am wondering if this is appropriate. I have been taught that NP's don't have the same teaching relationship with residents and are not allowed to use the resident's note, but this is a resident nurse practioner. Is this allowed?

thanks for any feedback.

NP's in teaching setting

You're right: PA and NP students fall under the same rules as medical students: that is, you cannot bill for their services.

NP's and PAs do NOT fall under the teaching physician rules. You may not combine their notes with a resident note and bill under their provider numbers.

There's no such thing as "resident nurse practitioner"

So, if it is an NP student note, and the NP hasn't separately documented the note, it isn't billable to anyone. You can never bill for any student services.

If the medical resident and the NP are trying to bill jointly, that is not allowed either.

Here are some articles in Codapedia on the topic. There are more: if you search "teaching" you'll see the list.

http://www.codapedia.com/~article_131_.cfm

http://www.codapedia.com/~article_39_.cfm