RN Insurance Reimbursement Question

[Phi Gam]

Hello,

I am an RN with a question some of you in the Home Health field might be able to answer. I am looking to provide some services, within a nurse's scope of practice, outside the hospital. The problem I am running into is insurance billing. I have recently heard that an RN can bill insurance with a physician's billing # if they have a collaborative agreement with that physician. Does anyone know if this is true and/or how this works? Thanks.

PG

[AMN74]

I don't know what state you work in. This can be a difficult process if you want to bill medicare/medicaid. You may need to get your own provider number, have policies and procedures for all the services you are going to provide, make sure you have written and signed orders from the MD. In order for you to bill and be your own "business" you may have to have business licenses etc also. And careful documentation.. Lots of things to check into.