How to do skilled visits independently and bill Medicare - page 3
by PeacefulHeart 39,719 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
- 1Feb 5, '11 by directcareincGood 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
- 0Feb 11, '11 by kakalinarnThanks 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.
- 0Apr 3, '11 by directcareincQuote from kakalinarnkakalinarn question for you, how do you become medicare certified???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.
- 0Apr 3, '11 by chris2732This thread may answer your questions on becoming Medicare/Medicaid certified, which also depends on what state you work in.
- 0May 31, '11 by directcareincYea 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
- 0Jun 15, '11 by Amanda.RNDoes 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!
- 2Jan 29, '12 by Jenn55eQuote from MRJ1031The 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.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
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?