New Patients See NP for Some Payers

March 1, 2008

It is economically beneficial for our nurse practitioner to see new patients from certain insurers rather than myself; she gets paid better. May I choose to not see patients from those companies and only have her accept those patients?

Question: It is economically beneficial for our nurse practitioner to see new patients from certain insurers rather than myself; she gets paid better. May I choose to not see patients from those companies and only have her accept those patients?

Answer: I’d say the answer depends on the payers and your malpractice insurer.

If you cancel your contracts with the payers, will they allow the NP to see new patients without physician supervision? What does the risk department of your malpractice carrier say?

It’s also worth trying everything you can to get in touch with these payers and point out the pay discrepancy. They might be willing to pay you more, you never know.