MedicaidReimbursementMedium impact
Attention Provider Type 24 (Advanced Practice Registered Nurses): Update on Claims with Modifier AS
Nevada Medicaid·NV·Billing & Coding
Effective date
Sep 29, 2025
We identified it
Jun 21, 2026
Summary
Nevada Medicaid has corrected a billing system error where Advanced Practice Registered Nurses (provider type 24) were being paid incorrectly when using modifier AS. The system has been fixed as of September 29, 2025, and overpayments from January 1, 2024 forward will be automatically recouped.
Action Required
Immediately: Nevada practices with Advanced Practice Registered Nurses should review all claims with modifier AS from January 1, 2024 forward for potential overpayments. Monitor future remittance advice for automatic reprocessing results and potential recoupments. Prepare to appeal any inappropriately denied claims during reprocessing using Medicaid Services Manual Chapter 100 procedures.