How to do skilled visits independently and bill Medicare

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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 am putting out to the hospitals seems to get ignored. I am feeling that the hospitals think that geriatric nurses are not "worthy" or something, but after 13 years in the hospital and working in Critical Care with my CCRN previous to the geriatric stint, I do feel that more attention should be given to me. However, maybe this is a nice little sign that I am being sent to finally do "my own work" and move on. I recently did start my holistic health-wellness business this past Fall, but it is not enough currently to do that on a full time basis.

I also love to teach, all sorts of things with holistic health and disease process, but do not have a BSN and no desire to pursue one.

I am wondering if anyone here would know how to get involved with doing independent skilled visits and then bill Medicare as allowed? I know that there are some home care agencies that do this and pay RN's like 45 per visit. I have researched and heard that Medicare pays them at least 100. So you can see how beneficial it would be to x out the middle man and do my own thing. I do realize that I would be responsible for my own documentation and supplies, although I think most supplies should be covered FOR them through Medicare.

Any advice is Greatly appreciated! I am so ready to get out of working for others!:D

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

Specializes in Labor&Delivery/Peds/Psych/Correctional.

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

yes, I'm a resident of Southern Cali. Riverside Co. [email protected]

Thank you so much! You've just made my day

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

Hi Ciege 911,

How did you get your NPI?

Sbarth

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 (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?

Specializes in Footcare nursing.

Gosh this thread is old, but I was looking on the medi-cal site for the inp provider application for nurses and i just saw the one for np's. i did see the app for any categories not listed...is that the correct one for RNs? also where did you find the info for the criteria to apply as far as your experience is concerned? thanks . i dont know how to private message!!!

im in cali i am a inp but not sure if we can bill medicare does anyone have info

site www.medi-cal.ca.gov and look under forms

Specializes in Vents, Telemetry, Home Care, Home infusion.

One can not bill Medicare for Home Health skilled nursing visits as independent provider. You can do that from Medicaid.

Nurse Practitioners may bill independently under both programs.

Also in Cali and cannot find the correct forms for LVN.. Does anyone know the exact forms needed.. Also going to be doin homecare ...

Does anyone know how much medicare pays for initial home visit certification by NPs?

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