Eligibility and benefits verification
Coverage, network status, copays, deductibles, and authorization requirements checked before the visit, including behavioral health carve-out plans.
NP billing services
Nurse Practitioner Billing Services
Global Tech Billing provides nurse practitioner billing services for independent NPs and NP-owned practices, from eligibility checks and payer enrollment through claim submission, denial follow-up, and A/R. Claims are set up for how you actually bill, whether under your own NPI or through a group.
- Nationwide support
- Medicare, Medicaid, and commercial payers
- Credentialing and billing in one workflow
Scope of service
Medical billing services for nurse practitioners
Choose full revenue cycle support or only the pieces your practice needs. The workflow is set up around your NPI structure, payer mix, EHR, and the services you provide.
Credentialing and payer enrollment
Medicare, Medicaid, and commercial enrollment, CAQH upkeep, EFT and ERA setup, and recredentialing, tracked to each payer's effective date.
Charge review and coding support
Charges matched to completed visits, with E/M levels, modifiers, and place-of-service codes checked against documentation. Final code selection stays with the provider.
Claim submission
Claims scrubbed for payer edits and rendering and billing NPI accuracy before submission. Clearinghouse rejections are corrected and resubmitted.
Prior authorization coordination
Authorization needs identified at scheduling and tracked so the approved service, dates, and provider match the claim.
Payment posting
ERA and EOB payments and adjustments posted, with underpaid lines flagged for follow-up instead of written off.
Denial management and appeals
Denials sorted by root cause, corrected or appealed within payer deadlines, and repeat causes reported back to the practice.
A/R follow-up
Aging claims worked by value and filing deadline, including claims that sit unpaid without ever being formally denied.
Patient balances and reporting
Insurance and patient payments posted and balances kept current, with regular reports on collections, denials, and aging A/R.
Independent and NP-owned practices
Billing support for independent nurse practitioners
Independent NPs usually carry the whole revenue cycle themselves, around a full patient schedule. Many of the problems in NP practices start before the first claim: a payer effective date that hasn't arrived, a group not linked to the NP's enrollment, or a taxonomy that doesn't match the services billed.
We set those pieces up first, then run billing on top of them.
Explore credentialing services →Opening a new NP practice
Enrollment sequencing, CAQH, EFT and ERA, and payer setup so the first claims are payable.
Already billing, but A/R keeps growing
A review of aging claims, denial patterns, and unworked rejections, followed by a cleanup plan.
Adding NPs to a group
Reassignment, rendering-provider setup, and each payer's rules for NP services.
Changing billing companies
Open A/R, payer portal access, and reporting moved over so nothing ages out in the handoff.
Who we work with
NP practice types we support
Billing rules shift with the services you provide, not only your certification. We confirm fit for your specialty, payer mix, and EHR during the initial review.
PMHNP and psychiatric practices
Psychiatric evaluations, medication management, psychotherapy add-ons, telehealth visits, and behavioral health carve-out payers.
Psychiatry billing services →Behavioral health practices
NP-run mental and behavioral health practices billing alongside therapists, with benefit checks for visit limits and carve-out plans.
Therapist billing services →Family and adult-gerontology NPs
Office visits, preventive and annual wellness care, chronic care management, Medicare-heavy panels, and in-office procedures.
Women's health and pediatric NPs
Well-woman and well-child visits, preventive benefit rules, and payer-specific coverage limits.
Telehealth NP practices
Telehealth place-of-service and modifier rules, multi-state enrollment, and payer-by-payer coverage.
NP-led group practices
Several NPs, collaborating physicians, and group enrollments billed under one consistent workflow.
Denial prevention
Where nurse practitioner claims commonly break down
Many NP denials are setup problems that look like coding problems. A claim can be coded correctly and still deny because of who is listed as the rendering provider or when enrollment took effect.
Explore denial management services →Billing before enrollment is effective
Services furnished before a payer's effective date are often unpayable, so enrollment status is checked before claims go out.
NPI and taxonomy mismatches
Rendering NPI, group NPI, taxonomy, and service location have to match what each payer has on file.
Incident-to and split/shared misuse
Billing NP services under a physician's NPI only works when strict payer requirements are met and documented.
Telehealth POS and modifiers
Place-of-service codes and telehealth modifiers vary by payer and change often.
Eligibility-only checks
A visit can be eligible and still deny for coordination of benefits, a missing authorization, or a carve-out plan.
Claims no one follows up on
Pending and returned claims can age past filing limits without a formal denial ever arriving.
Payer rules
Medicare, Medicaid, and commercial insurance billing for NPs
Each payer type treats NP services differently, so rules are set up payer by payer. Rules also vary by state, contract, and credentialing status.
Medicare
NPs can enroll in Medicare and bill under their own NPI or reassign to a group. Medicare generally pays NP services at 85% of the physician fee schedule amount. Incident-to billing has separate supervision and documentation rules.
How to bill Medicare as an NP →Medicaid
NP enrollment, covered services, and supervision or collaboration requirements vary by state and by managed care plan, so setup is state-specific.
Medicaid billing guidelines for NPs →Commercial insurance
Payment follows each contract. Some plans pay NPs at physician rates, some at a reduced rate, and many require each NP to be credentialed separately.
How commercial payers reimburse NPs →How the work moves
How our NP billing process works
- 1
Practice review
We review your NPI setup, enrollments, payer mix, EHR, open A/R, and denial history before anything changes.
- 2
Eligibility and authorization
Coverage, benefits, and authorization requirements confirmed before visits.
- 3
Charge and coding review
Charges reconciled to completed visits; codes, modifiers, and place of service checked against documentation.
- 4
Claim submission
Clean claims submitted electronically; rejections corrected and resubmitted.
- 5
Payment posting
Payments, adjustments, and patient responsibility posted and checked for underpayment.
- 6
Denials and appeals
Denials categorized by cause, then corrected or appealed within payer deadlines.
- 7
A/R follow-up and reporting
Aging claims worked by priority, with regular reporting to the practice.
Why Global Tech Billing
Why NP practices work with Global Tech Billing
Credentialing and billing under one team
Enrollment status and claim status are tracked together, so claims aren't sent to payers you're not active with yet.
Works inside your current systems
We work in common EHR and practice management platforms, including AdvancedMD, Tebra (Kareo), athenahealth, TherapyNotes, Office Ally, OptiMantra, and eClinicalWorks.
Sized for solo and small practices
Support can start with a single NP and expand as you add providers or locations.
Reporting you can read
Claim status, payments, denials, and outstanding balances in plain reports, without chasing your biller.
HIPAA-conscious workflows
HIPAA-conscious workflows and secure handling of patient information throughout the billing cycle.
Nationwide support
We support NP practices across the United States, with state-specific Medicaid and payer rules.
Pricing
Medical billing is priced at 3% of collections or $250 per month, whichever is greater. Scope is agreed in writing before onboarding.
Nurse practitioner billing guides
Background reading on how NP billing rules work across payers.
- Medical Billing for Nurse Practitioners: Complete Guide
- NP Billing Under Supervising Physicians: Rules and Risks
- Incident-To Billing Explained for Nurse Practitioners
- CPT Codes Nurse Practitioners Use Most Often
- Medicare vs Commercial Payer Rules for NP Billing
- Common Billing Mistakes Nurse Practitioners Make
Authoritative references
Payer rules change. Confirm details against current CMS, state Medicaid, and payer guidance.
- CMS MLN booklet: Advanced Practice Registered Nurses and Physician Assistants
Medicare enrollment, NP payment, and incident-to basics.
- CMS PECOS
Medicare provider enrollment and reassignment.
- CMS NPPES
NPI applications and taxonomy updates.
Common questions
Nurse practitioner billing FAQs
What are nurse practitioner billing services?
Nurse practitioner billing services are outsourced revenue cycle work for NPs and NP-owned practices: verifying eligibility, preparing and submitting claims, posting payments, working denials and appeals, and following up on unpaid A/R. Many billing companies, including Global Tech Billing, also handle payer enrollment and credentialing, which most payers require before they will pay an NP's claims.
Can nurse practitioners bill insurance directly?
Often, yes. NPs can bill Medicare under their own NPI once enrolled, and many Medicaid programs and commercial plans credential NPs as billing providers. Whether a specific NP can bill a specific payer directly depends on state scope-of-practice law, the payer's policy, the NP's contract, and completed credentialing.
Can nurse practitioners bill Medicare?
Yes. NPs can enroll in Medicare and bill under their own NPI or reassign benefits to a group. Medicare generally pays NP services at 85% of the physician fee schedule amount. Services billed incident-to a physician follow separate rules and must meet strict supervision and documentation requirements.
What billing services do independent nurse practitioners need?
Most independent NPs need payer enrollment and CAQH upkeep, eligibility checks, claim submission, payment posting, denial follow-up, and A/R management. New practices usually need enrollment first, because claims for services furnished before a payer's effective date are often denied.
Why do nurse practitioner claims get denied?
Common causes include billing before enrollment is effective, rendering or billing NPI mismatches, the wrong taxonomy, telehealth place-of-service or modifier errors, missing authorizations, and incident-to billing that doesn't meet payer requirements. Many are setup problems rather than coding errors.
Can a billing company handle credentialing for nurse practitioners?
Yes. Global Tech Billing handles Medicare, Medicaid, and commercial payer enrollment, CAQH profile management, EFT and ERA enrollment, and recredentialing. Payers make the final credentialing decision and set their own processing timelines.
What is outsourced medical billing for nurse practitioners?
Outsourced billing means a billing company runs some or all of your revenue cycle instead of in-house staff or the NP. The provider stays responsible for documentation and code selection; the billing team handles submission, follow-up, and reporting, usually inside your existing EHR or practice management system.
How much do nurse practitioner billing services cost?
Billing companies most often charge a percentage of collections, a per-claim fee, or a flat monthly fee. Global Tech Billing's medical billing rate is 3% of collections or $250 per month, whichever is greater, with the scope agreed before onboarding.
Do you guarantee higher collections?
No. Collections depend on payer rules, documentation, and filing limits. We agree on baseline metrics during onboarding and report against them.
Talk with us about nurse practitioner billing services
Share your payer mix, EHR, NPI setup, and any denial or A/R concerns. We'll show you where claims are getting stuck and what we would handle.
Page updated October 2026. Payer information on this page is general and educational; rules vary by state, payer, contract, and credentialing status.