Psychiatric-Mental Health Nurse Practitioner Exam

Medicare reimbursement for NP services is typically set at what percentage?

1. 50%

2. 75%

3. 85%

4. 100%

The correct answer is: 85%

Medicare reimbursement for Nurse Practitioner (NP) services is typically set at 85% of the physician fee schedule. This percentage reflects the recognition of NPs as qualified healthcare providers who can deliver a range of services, thus allowing them to receive compensation for their work in a manner similar to that of physicians, although at a slightly reduced rate. This rate applies to the majority of services provided by NPs when they are billing Medicare. Recognizing this percentage is crucial for NPs as it directly influences billing practices and the financial sustainability of their practice. Higher or lower percentages would not align with current Medicare policies, which clearly establish the 85% reimbursement rate for NP services, acknowledging their vital role in patient care while still differentiating the payment structure from that of physicians.