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CMS-1403-FC
directly affected by the demonstration. The BN adjustment
under PFS will be limited to adjusting the chiropractor fee
schedule codes (comprised of the 3 currently covered CPT
codes: 98940, 98941, and 98942). No other codes would be
affected.
Q. Educational Requirements for Nurse Practitioners and
Clinical Nurse Specialists
In the CY 2009 PFS proposed rule (73 FR 38576), we
proposed a technical correction to the nurse practitioner
(NP) qualifications at §410.75(b) to require that, in order
for NP services furnished by an individual to be covered by
Medicare, a NP who obtains Medicare billing privileges as a
NP for the first time on or after January 1, 2003, must
meet all of the following criteria: (1) be a registered
professional nurse who is authorized by State law to
practice as a NP; (2) be nationally certified as a NP; and
(3) have a master’s degree in nursing. The current NP
qualification standards in our regulations include
progressive requirements that are not entirely date
specific. The absence of a date specification for each of
the qualification standards could allow nurses who have
never been enrolled under Medicare and obtained Medicare
billing privileges as a NP an opportunity to enroll as a NP
after January 1, 2003, without a master’s degree in
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