20 Miss. Code R. § 2-II

Current through June 25, 2024
Section 20-2-II - NURSE PRACTITIONER
A. Modifier M1 should be attached to the appropriate CPT code when billing services rendered by the nurse practitioner. The nurse practitioner must use his/her unique identifier to bill for all services. Nurse practitioners must comply with the requirements for a National Provider Identifier (NPI) as specified in the Billing and Reimbursement Rules of this Fee Schedule.
B. The nurse practitioner is reimbursed at eighty-five percent (85%) of the maximum allowable for the procedure.
C. There is only one fee allowed for each CPT code. It is the decision of the physician or the nurse practitioner as to who will bill for a service when both have shared in the provision of the service. Incorrect billing of the service may cause a delay or improper payment by the payer. The medical doctor (MD) must be on-site on the date of service and provide additional documentation and review of services in order for physician reimbursement to be applied.

20 Miss. Code. R. § 2-II

Amended 6/14/2017
Amended 6/15/2019