Journal of Urgent Care Medicine

NPs Have Little Interaction With Supervising Physicians: Survey

A survey of 1,486 nurse practitioners (NPs) in North Carolina suggests that physician supervision often provides little direct clinical interaction, despite the state’s requirements for collaborative practice agreements. The survey was conducted by Jennifer Perry, DNP, APRN, FNP-C, CNE, a family nurse practitioner practicing in urgent care, and Chandra Speight, PhD, APRN, FNP-C, CNE, a professor at East Carolina University, and was presented at the American Association of Nurse Practitioners annual meeting. According to the …

Physician Fined for Lax Supervision of NP

A California nurse practitioner (NP) with a doctorate degree was fined $20,000 in 2022 for illegally presenting herself as a physician and referring to herself as “doctor” when interacting with patients. The NP, Sarah Erny, was supervised by Anika Moore, MD, who has now been fined $25,000 for unlawful supervision of Erny’s conduct, according to Medscape. An investigation found that Moore—who lived in Massachusetts—never reviewed any medical records for Erny’s patients, and Erny ultimately opened …

Supervising Physician, Physician Rotation, Critical Care

DAVID STERN, MD (Practice Velocity) Q. Can a Physician Assistant (PA) bill a claim under a supervising physician even when the supervising physician is not physically present during the patient visit? A.A PA can render services when the physician is not on site. Incident-to billing (a specific CMS method for billing midlevel services with the physician as rendering provider) would never apply in this case. Services rendered in this situation should be billed with the …

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