Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Dermatologic Procedures Independently Billed by NPPs

J Am Acad Dermatol; ePub 2018 Sep 15; Qi, Hibler, et al

A recent study demonstrated the increasing scope of practice of nurse practitioners (NPs) and physician assistants (PAs) in dermatology, despite limited training and lack of uniform regulations. Researchers conclude that in order to ensure quality and safety of care, it is prudent to set benchmarks for proper supervision and utilization of procedures in dermatology, as more non-physician practitioners (NPPs) expand their scope. They conducted a 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. They found:

  • >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.

Qi Q, Hibler BP, Coldiron B, Rossi AM. Analysis of dermatologic procedures billed independently by non-physician practitioners in the United States. [Published online ahead of print September 15, 2018]. J Am Acad Dermatol. doi:10.1016/j.jaad.2018.08.047.

This Week's Must Reads

Dermatomyositis, Negative ANA, and Malignancy Risk, J Am Acad Dermatol; ePub 2018 Nov 17; Hoesly, et al

Head/Neck Melanomas Have High Local Recurrence Risk, J Am Acad Dermatol; ePub 2018 Nov 17; Fix, et al

DOT Laser Offers Low Incidence of Adverse Effects, J Drugs Dermatol; 2018 Nov; Sarnoff, Gotkin, et al

Frontal Fibrosing Alopecia and Severity Factors , Dermatology (Karger); ePub 2018 Nov 22; Mervis, et al

Unsafe Neighborhoods Linked with Higher AD Risk, Ann Allergy Asthma Immunol; ePub 2018 Oct 26; McKenzie, et al

Must Reads in Practice Management

Dermatologic Procedures Independently Billed by NPPs, J Am Acad Dermatol; ePub 2018 Sep 15; Qi, Hibler, et al

Trends in Medicare Billing Among Mohs Surgeons, Dermatolog Surg; ePub 2018 Sep 7; Tsai, et al

Value of Urgent Care Dermatology Examined, Int J Dermatol; ePub 2018 Aug 28; Sempler, et al

Dermatologist-Delivered Intervention Is Effective, JAMA Dermatology; ePub 2018 Aug 8; Mallett, et al

Post-Surgery Telephone Follow-up Gets High Marks, J Clin Aesthet Dermatol; ePub 2018 Jul 1; Forbes, et al