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Nurse Practitioner Billing & Credentialing, Done Right

NP billing turns on the incident-to and supervision rules, and one misstep reclassifies a whole claim. RevPath bills every visit at the right rate under the right provider — and credentials your NPs to match.

98%
First-pass clean claim rate
25–35%
Average revenue growth
100+
Healthcare practices supported
5+ yrs
Medical billing experience

Nurse practitioner billing lives or dies on two rules: incident-to and supervision. Bill an NP visit incident-to when it qualifies and it pays at 100% of the physician fee schedule; bill it directly and it pays at 85%. Get the classification wrong in either direction and you’ve either left revenue behind or exposed the claim to a compliance takeback.

RevPath bills NP and other advanced-practice provider visits at the correct rate under the correct provider — and documents the supervision and encounter details that justify it. We also handle NP credentialing, so your nurse practitioners are enrolled and billable with every payer, not just Medicare.

What’s covered:

  • Incident-to vs. direct billing determination on every qualifying visit
  • Split/shared visit rules applied correctly in facility settings
  • Supervision and documentation requirements tracked to support the claim
  • NP credentialing and payer enrollment across commercial and government payers
  • Scope-of-practice and state-rule awareness for multi-state groups

This matters most for small practices and clinics leaning on advanced-practice providers to extend physician capacity. It connects directly to credentialing and enrollment and clean medical billing.

The revenue difference between correct and careless NP billing is 15 cents on every dollar of qualifying visits — captured or lost depending entirely on whether someone knows the rules.

Revenue Leak Calculator

How much is your practice leaving on the table?

Estimated revenue at risk$108,000/yr≈ $9,000/month typically goes uncollectedRecover It — Get a Free Audit ›Estimate based on typical industry recovery rates (~60% of denials are never reworked). Your real numbers get worked out in the free audit.

Billing Your NPs Correctly?

Send 90 days of advanced-practice claims and the free audit shows what incident-to and direct-billing errors are costing.

Testimonials

Trusted by Practices Across the Country

Dr. Sarah Jenkins, MD
“Behavioral health billing used to drain our administrative time. Partnering with RevPath transformed our practice. Their team handles our complex CPT codes and pre-certifications seamlessly, drastically reducing our denial rates. Our revenue cycle is predictable, letting us focus entirely on patient care.”
Dr. Sarah Jenkins, MDMedical Director & Lead PsychiatristPsychiatry / Behavioral Health · Austin, TX
Dr. Marcus Vance, MD, FAAOS
“High-value surgical claims mean denials hit us hard. RevPath proved their expertise immediately by fixing our modifier errors and streamlining Workers’ Comp claims. Our clean claim rate jumped past 98%, and collections are faster. I highly recommend them to any surgical practice.”
Dr. Marcus Vance, MD, FAAOSAttending Orthopedic SurgeonOrthopedic Surgery · Chicago, IL
Dr. Elena Rostova, MD
“Anesthesia billing is complex with unit calculations and minute-by-minute tracking. RevPath truly understands our field’s unique math. Since partnering with them, our aging A/R dropped significantly and reimbursements are up. They are responsive, precise, and vital to our daily operations.”
Dr. Elena Rostova, MDStaff AnesthesiologistAnesthesiology · Seattle, WA
Dr. Rajesh Patel, MD, AGAF
“Managing high claim volumes for screening versus diagnostic procedures was a constant headache. RevPath brought immediate clarity to our coding workflow. Their team handles our high volume effortlessly, keeping cash flow steady while virtually eliminating our administrative stress.”
Dr. Rajesh Patel, MD, AGAFSenior GastroenterologistGastroenterology · Tampa, FL
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