Internet-Only Manual (IOM) Updates for NPs and CNSs

Related CR Release Date: December 30, 2022
Effective Date: January 1, 2023
Implementation Date: January 31, 2023
Related Change Request (CR) Number: CR 13029
Related CR Transmittal Number: R11771PI

CR 13029 adds the Nurse Portfolio Credentialing Commission (NPCC) to the list of national certifying bodies under the manual instructions at Chapter 15, section 200 for NPs and, section 210 for Clinical Nurse Specialists (CNSs) of the Medicare Benefit Policy Manual, Pub. 100-02. (Sections 10.2.3.5 and 10.2.3.8 in Chapter 10 of Pub. 100-08 are also being updated with the foregoing changes.) The CY 2023 Physician Fee Schedule final rule adds the NPCC to the list of recognized national certifying bodies for Nurse Practitioners (NPs) and CNSs. Accordingly, effective January 1, 2023, NPs and CNSs who are certified by the NPCC meet the Medicare Part B program’s national certification qualification requirement to enroll under the NP and CNS statutory benefit category.

Make sure your billing staff knows about these changes.

View the complete CMS Change Request (CR)13029.

Last Updated Feb 09 , 2023