This article was originally published in the Spring 2020 Issue of Critical Connections.

If the APP is a hospital-employed practitioner and is included on the Medicare cost report, the APP cannot bill for critical care services because those services are included in the hospital billing. If the APP is excluded from the hospital Medicare cost report, he/she can bill professional services, including critical care, using the individual’s National Provider Identification (NPI) number. If the APP is employed by the hospital, payment should be reassigned to the hospital. In this instance, the employer (hospital) bills the APP’s professional services under Medicare Part B using the APP’s NPI number.

Critical Connections, the critical care industry's only newsmagazine, provides information on cutting-edge topics in critical care useful to the entire multiprofessional team.Deborah Grider