Journal of Hospital & Medical Management

Nurse Practitioners in Electroconvulsive Therapy

Background: All forms of neuromodulator, including Electroconvulsive Therapy (ECT), are within the scope of practice for Psychiatric Nurse Practitioners (PMHNPs). Yet, most major payers do not consider PMHNPs billable providers, including Medicare (MCR).

Aims: The authors explored this issue through mixed methods and completed outreach to significant stakeholders to assess possible policy change. Methods: Methods included literature review, qualitative and quantitative research, creation of original policy materials, and engagement with key stakeholders.

Results: The literature review was supportive of ECT NPs but limited. Financial data from the single case study confirmed billing restrictions including “incident to” billing. Interview data supports ECT NPs but emphasizes limitations and related confusion and frustration. No change was made in CMS billing criteria language.

Conclusions: ECT NPs are an asset to this field. Yet, ongoing policy issues demonstrate a continued discrepancy between coverage and care.

Author(s):

Abstract | Full-Text | PDF

Share this