How to do skilled visits independently and bill Medicare - page 3

by PeacefulHeart 39,927 Views | 35 Comments

Hello....I am seriously doing some intensive work on transitioning out of my current situation in geriatric care. I absolutely hate it and since I have been in it for about 4 plus years all of the resumes and applications that I... Read More


  1. 1
    Good Day,

    Well IM an LVN and I just submitted my application to Medi-Cal for my provider number,
    I formed a Corporation that I will be working under I have my NPI,insurances business address phone lines,medical supplies etc. etc.but in the meantime while waiting on my approval from medi-cal...Im learning how to fill out and submit TAR request and making sure I have my RN in place to do my case managment,

    But what Im looking into now is providing care to medi-cal and medicare patients will be great but how do I tap into that private insurance or that no insurance market A.K.A. fee for sevice patients...any advice would be appreciated

    Thanks
    lindarn likes this.
  2. 0
    Thanks for all the info so far. Im in the same boat, wanting to start my own home healthcare service as independent nurse contractor. I have also submitted the required docs to be Medicare certified. To be built into the system of the private insurance companies, you need to submit claims to them. They will pick up the cost left from Medicare. I'd like to know more also on POT, TAR and sample billing to Medicare. Everything is still in grey area with me. Thanks a lot for the help.
  3. 0
    Quote from kakalinarn
    thanks for all the info so far. im in the same boat, wanting to start my own home healthcare service as independent nurse contractor. i have also submitted the required docs to be medicare certified. to be built into the system of the private insurance companies, you need to submit claims to them. they will pick up the cost left from medicare. i'd like to know more also on pot, tar and sample billing to medicare. everything is still in grey area with me. thanks a lot for the help.
    kakalinarn question for you, how do you become medicare certified???
  4. 0
    This thread may answer your questions on becoming Medicare/Medicaid certified, which also depends on what state you work in.

    http://allnurses.com/private-duty-nu...335-page2.html
  5. 1
    I too am trying to get my INP number. Any help on how to get started or just to tutor me thru would be greatly appreciated. So far help from other nurses has not worked, maybe because they think I'm trying to steal potential jobs. haha
    lindarn likes this.
  6. 0
    Yea that sucks people being tight lipped....but I just recently recieved my provider number....any info I can pass on to you I sure will....are you a resident in California...if so the process is simple and painless...just takes a while,but then again everything with the state takes a while.....if you can forward me your email address and I will send you the info that way
  7. 1
    yes, I'm a resident of Southern Cali. Riverside Co. mjewell1031@yahoo.com
    Thank you so much! You've just made my day
    lindarn likes this.
  8. 0
    Does anyone have any idea why Medicare reimburses RN's in some states and not others? I attempted to apply for a Medicare Provider # in Wisconsin today, but was denied (you need to be a Nurse Practitioner, Registered Dietician, Social Worker, etc). I know that Registered Nurses in California and other states are able to obtain a Medicare Provider # to bill Medicare. Medicare is a federal program - why can RN's bill in some states but not in others? Any information or news articles about this would be greatly appreciated. I'm considering writing my Governor to see if the law in this state can be changed. Thanks again for any info you have!

    Best Regards,
    Amanda
  9. 0
    Hi Ciege 911,
    How did you get your NPI?
    Sbarth
  10. 2
    Quote from MRJ1031
    I too am trying to get my INP number. Any help on how to get started or just to tutor me thru would be greatly appreciated. So far help from other nurses has not worked, maybe because they think I'm trying to steal potential jobs. haha
    The thread "private duty nurse" by nurse marie (started 8/17/1999) has really good information on how to get those provider #s. Being billing independently as an RN, LPN, or NP depends on your state.

    From reading all these posts, it seems a nurse (who wants to provide nursing services independently) would 1st get the tax ID # at the IRS web site.

    (2) Obtain nursing malpractice insurance (e.g., NSO)

    (3) Obtain the NPI # at the CMS web site

    (4) Obtain the Medicare provider # at the CMS web site

    (5) Obtain the Medicaid provider # from your state (since Medicaid is state-by-state).

    (6) Advertise in craigslist, professional associations and organizations, your state's Alzheimer's Association, newspapers, word-of-mouth, personal web site about your services. (start a local group of private duty nurses or independent nurse contractors for referrals, etc)


    Anything steps missing for those who are experts at this?
    CocoCapricho and lindarn like this.


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