Compliance Risk Considerations with the Integration of Advanced Practice Providers

As the focus on team-based care intensifies, advanced practice providers (APPs) remain one of the fastest growing segments of the health care workforce. The role of the APP in transforming care delivery is critical, and health care organizations nationwide continue look for better ways to meet their goals around access, quality, service and affordability.

Featured in the American Health Lawyers Association’s (AHLA) Health Care Transactions Resource Guide, SullivanCotter examines three regulatory requirements that must be met to help ensure compliance and mitigate risk when integrating APPs into the care delivery team:

  • Evaluation of APP competency standards
  • Third-party payer policies as they relate to billing for services provided by APPs
  • Appropriate attribution of APP work effort in production-based physician compensation plans

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