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May nurse practitioners who do nail clippings in addition to exams for nursing home patients charge for the E&M with the clipping charge?

April 26, 2017addition charge clippings exams nail nurse nursing home Patients practitioners

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May nurse practitioners who do nail clippings in addition to exams for nursing home patients charge for the E&M with the clipping charge?

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Nurse practitioners are regulated by the state board of nursing. For those professions that we regulate, the question comes down to the rules of the reimbursing entity or authority, if there is one. There might be a question as to whether the service is one that is medically necessary, or whether the service is one for which the patient has consented.