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Understanding Participating and Non-participating provider status for NPs

Nurse Practitioners in Business

On the surface, it sounds like having non-participating provider status with Medicare is a good thing. Medicare requires NPs enrolled with Medicare as a provider to accept assignment. But for NPs, is it really? That the rule had always taught me that NPs could not opt for “non-participating” provider status.

Medicare 221
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ANA Weighs in on Annual Medicare Payment Rulemaking

Capitol Beat

Starting each Spring, the Centers for Medicare & Medicaid Services (CMS) begins its annual rulemaking process to determine payment for Medicare services by provider type. Comments on the last proposed rule of the 2025 Medicare payment rulemaking cycle were submitted to CMS in early September.

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Why Nurse Practitioners are a Solution to Rural Healthcare Challenges

Health Leaders | Nursing

"There are many people who don't see a doctor or get healthcare on a regular basis, and when they are really sick, they go to the emergency room for their care," says April Kapu, DNP, APRN, ACNP-BC, FAANP, FCCM, FAAN , immediate past president of the American Association of Nurse Practitioners (AANP). "It Some barriers are being reconsidered.

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Improving Care and Access to Nurses (ICAN) Act: Legislators Want to Hear from Nurses 

Daily Nurse

NPs provide high-quality healthcare to Medicare and Medicaid patients across all geographic areas and healthcare settings. NPs provide high-quality healthcare to Medicare and Medicaid patients across all geographic areas and healthcare settings. APRNs are healthcare providers.

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The End of the Public Health Emergency and What this Means for Nurses

Capitol Beat

Much of Medicare is in statute, and as a result the Administration has limited authority to expand telehealth absent Congressional action. However, waivers that allowed advanced practice registered nurses (APRNs) to practice at the top of their license will expire on October 9 absent further Congressional action. 42 CFR §482.12(c)(1)–(2)

APRN 101
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Supporting and advocating for APRNs

American Nurse

Expiring PHE waivers turn back the clock in some states Despite the proven value of advanced practice RN (APRN) care, the APRN role is at a crossroads. Depending on the state in which they practice, APRNs now may face more restrictions than during the PHE. Certain other restrictions also were lifted.

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AANP Applauds Senate Introduction of ICAN Act

Daily Nurse

This legislation would strengthen healthcare access for Medicare and Medicaid beneficiaries by removing federal barriers to practice for nurse practitioners (NPs) and other advanced practice registered nurses (APRNs). Merkley (D-OR) and Lummis (R-WY) for introducing the Improving Care and Access to Nurses (ICAN) Act in the U.S.