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Collaborative PracticeNew York State Education Law holds NPs independently responsible for the diagnosis and treatment of their patients and does not require an NP to practice under physician supervision.

Physician services include making medical diagnoses, prescribing medications and other treatments, and ordering diagnostic tests. Collaboration is defined by each state, and usually means providing direction and oversight and being available to the NP for consultation by telephone or other means.

Collaboration is defined as the process by which a licensed physician and a physician assistant jointly contribute to the health care and medical treatment of patients and requires each of the parties to deliver only the services they are licensed and authorized to provide.

A collaborative practice agreement is a written statement that defines the joint practice of a physician and an APN in a collaborative and complementary working relationship. It provides a mechanism for the legal protection of the APN and sets out the rights and responsibilities of each party involved.

According to the Texas Nursing Practice Act, NPs are required to have written prescriptive delegation consent also referred to as a collaborative agreement from a supervising physician. In addition to the TX Board of Nursing, NPs are also regulated by the TX Board of Medicine.

Physician services include making medical diagnoses, prescribing medications and other treatments, and ordering diagnostic tests. Collaboration is defined by each state, and usually means providing direction and oversight and being available to the NP for consultation by telephone or other means.

A collaborative practice agreement is a written statement that defines the joint practice of a physician and an APN in a collaborative and complementary working relationship. It provides a mechanism for the legal protection of the APN and sets out the rights and responsibilities of each party involved.

Some physicians believe that they must sign the chart if they are billing for the services. However, Medicare, Medicaid, and most commercial payers have no requirement for physician cosignature of NPs' records.

Collaborative PracticeNew York State Education Law holds NPs independently responsible for the diagnosis and treatment of their patients and does not require an NP to practice under physician supervision.

Moving Forward. There are many benefits to having NPs as independent practitioners. They help lower healthcare costs, as patients who have NPs as their primary care provider have fewer ER visits and shorter hospital stays. They also have a high level of patient satisfaction.