There is not much difference in the function of an NP and a PA.
evaluations, treat illnesses, prescribe medications and imaging, and collaborate with other health care professionals. They are required to engage in continuing education. They bill under their own NPI number.
Hiring an APP When hiring an APP, look for compassion, experience, self-confidence, strong analytical skills, amiability, understanding of when to ask questions and the ability to remain calm under pressure.
States and facilities may establish certain limitations and regulations, such as on the use of fluoroscopy: Some states don’t allow APPs to perform fluoroscopy, though sometimes the radiology tech can perform fluoroscopy for the APP (but not always).
Another potential requirement that is regulated by states and hospitals is
whether a supervising/collaborating physician is needed. That is, a hospital within a state that grants independent practice may still require the APP to have a collaborating/supervising physician. One physician is limited by the number of APPs they may supervise.
A third challenge is whether an APP is granted procedural sedation privileges. Although advanced airway management is a requirement for sedation privileges, and most APPs have advanced cardiac life support training, some facilities still do not grant sedation privileges.
Before hiring an APP, it is important to know whether your facility has policies that regulate whether an APP can perform procedures or whether new policies will need to be created. If they will, you need to determine how long will it take to have the facility approve the policies.
Contact insurance companies in advance to advise them that your group will be hiring an APP, and that they will be billing under their own NPI number. Be sure the APP will be empaneled as a provider with the insurance companies.
Conclusion In conclusion, hiring an APP can increase the number of procedures that can be performed in a day. It can allow the diagnostic radiologist to read, rather than be interrupted for certain procedures. Rounding on a patient the day after a procedure is billable in many cases. Inpatient rounding can generate revenue as well—in some cases, $75,000 annually. For a list of cases that do not have a global period, see
bit.ly/2BDmpxl.
The revenue generated by everything the APP does, therefore, can more than offset their salary.
More online
See the online version at
bit.ly/2VFwjXg for a sidebar on Kathy Taylor's experiences as an APP.
Bring an APP for free to SIR 2019! If you are an MD/DO member of SIR registering for the SIR 2019 Annual Scientific Meeting, you may bring to the meeting an APP who is also an SIR member. Learn more at
sirmeeting.org
under Registration (
bit.ly/2BDoObl).
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