[NPInfo] medicare billings for nurse BP checks????

[Paula Sumner]

Thanks Sue,
  the way the coder instructor, who came to the clinic 1 day tells me, the doc and me have to decide that we want to bill 'incident to'-we do not have to do bill this way, and therefore, accept my lower reimbursement rate.  For non-medicare, i guess the clinic admin bills under the MD's name since it is so hard to become credentialed as an NP, and we are dealing with a big institution here. 
  paula

"Yox, Susan" <SYox at medscape.net> wrote:
  Paula -- 

See:
Billing For Nurse Practitioner Services -- Update 2007: Guidelines for
NPs, Physicians, Employers, and Insurers
http://www.medscape.com/viewprogram/7767

One section:

Billing an Assistant's Services Under an NP's Provider Number
A medical practice may bill the services of a non-NP incident to an NP's
services (ie, bill an assistant's services under an NP's provider
number) if the rules for incident-to billing are followed. For example,
if an NP sees a patient and orders an electrocardiogram (EKG), and an
office technician performs the test, the NP may bill for the EKG as if
the NP had performed it, under the incident-to billing provision.

Susan Yox, Medscape

------------------------------

Message: 3
Date: Tue, 2 Oct 2007 14:38:19 -0700 (PDT)
From: Paula Sumner 
Subject: [NPInfo] medicare billings for nurse BP checks????
To: npinfo at nurse.net
Message-ID: <398587.84684.qm at web31711.mail.mud.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1

OK, gang, I need a bit of advice. I thought I read that 'bp checks' by
the office nurse could be billed or are billable under my name? Is this
correct? Do you know the code??? 
Paula




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Paula J. Sumner RN, MSN, HTP, CHt
Healing Touch, Hypnotherapy, Emotional Freedom Technique, Reiki-2
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