Become Medicaid/Medicare provider - page 4

Hello, I am new here. I am in the process of planning my own business, either home care (private duty) or care manager (I just became aware of this title; is anyone familiar with it?). I read in... Read More

  1. by   merrymmary
    I've been an LPN independent provider in Ohio for 11-12 years. LPN's make the same as RN's. I can only bill Medicaid. I "think" Indiana has the same IP program, Florida and it sounds like Wisconsin does? It also appears Calif will let Rn's bill medicare and insurance company's as well. But I know nothing more about that.
    Nurse practioners can bill medicare and insurance in Ohio but not Rn's.
    If anyone know's more or something different let me know.

    I'm an RN now and I'm getting out of the medicaid IP work for various reasons. Tired of paying all my own taxes, need benefits and just need a change. But it was good money for a long time. There use to be no competition and now it's crazy. LPN's have moved to Ohio because of this reason. It's very hard to find IP cases now. Plus home health business is booming in Columbus!!!!!
  2. by   MommyPrincessQueen
    There is lots of info for wisconsin nurses at http://www.professionalhomecareproviders.com
  3. by   merrymmary
    That's great to know more states do this. It's getting harder and harder to find cases in Ohio. They're changing how you bill and who manages cases. Plus there's too many nurses in Columbus. They're training aides to pass meds in home a well. Lot's of changes and cut backs in medicaid pay in Ohio too. It will be so interesting to see where this all leads.
  4. by   sal-rn
    I have my NPI number and am an RN in Ohio. Is medicaid my only option for reimbursement and not medicare?
  5. by   merrymmary
    That's correct. You have to be an agency to bill Medicare and be OSHA and JAccho certified etc. Unless there is something I don't know.
    I think NP can bill medicare, which is where I see the new healthcare going. NP's doctor's work for 1/2 the cost
  6. by   sunrock
    Call up the Department of Social Services in your state, ask for the supervisor of the private duty nursing program. How this works is, after you have obtained your NPI # by goggling up emedny.com, fill out the application for private duty nurse. and NPI #(your id with the state), then call that supervisor for your county, and leave your name and availability with her. Give weekly calls. You will be taking care of pts. in THEIR HOMES, one pt, adults in ny = 36.05/hr, Peds. 43-4/hr. You are totally on your own, so experience helps, you work directly/report to MD, a visiting nurse checks the pt. out every 6 mos., GET MALPRACTICE INS., you bill directly to the state, pay your own SS/Taxes, no benefits, get your own health ins., call your own hrs., very flexible with the families UNLESS IT IS A 24HR. CASE THEN, IT WILL BE 12 hr. shifts, etc., 8 hr. if the nurses decide, work as many hrs. as you like, i have been doing it for years. any questions.
  7. by   sunrock
    Quote from merrymary
    That's great to know more states do this. It's getting harder and harder to find cases in Ohio. They're changing how you bill and who manages cases. Plus there's too many nurses in Columbus. They're training aides to pass meds in home a well. Lot's of changes and cut backs in medicaid pay in Ohio too. It will be so interesting to see where this all leads.
    You have to call the nsg. supvr. frequently to get cases, they like to go to the agencies first.
  8. by   Lisa1203
    Quote from sunrock
    Call up the Department of Social Services in your state, ask for the supervisor of the private duty nursing program. How this works is, after you have obtained your NPI # by goggling up emedny.com, fill out the application for private duty nurse. and NPI #(your id with the state), then call that supervisor for your county, and leave your name and availability with her. Give weekly calls. You will be taking care of pts. in THEIR HOMES, one pt, adults in ny = 36.05/hr, Peds. 43-4/hr. You are totally on your own, so experience helps, you work directly/report to MD, a visiting nurse checks the pt. out every 6 mos., GET MALPRACTICE INS., you bill directly to the state, pay your own SS/Taxes, no benefits, get your own health ins., call your own hrs., very flexible with the families UNLESS IT IS A 24HR. CASE THEN, IT WILL BE 12 hr. shifts, etc., 8 hr. if the nurses decide, work as many hrs. as you like, i have been doing it for years. any questions.
    Thansk for the info!!!!!!!!!!!!!! those are RN rates, correct?
  9. by   sunrock
    Yes they are, you just have to keep calling, fillin if necessary. Also texas have 25 openings on Linkedin.com if you know anyone that want to relocate there.
  10. by   sunrock
    Quote from Lisa1203
    Joy,
    hi - i'm in NY & don't know the answer to your question - but I work as an LPN as a medicaid provider - so what you are saying doesn't seem right at all. An advanced nurse practitioner doesn't do the type of homecare that a "plain" RN or LPN does. Definately keep calling to get to the bottom of this - tell them it's just homecare you want to do - check out the PennySaver (do you have that in Illiniois - we do in NY) or Craigslist to see if people are looking for RN's/LPN's with a medicaid provider for homecare - if you do see those ads then the info you're getting for some reason is wrong. Good Luck! Lisa
    Send me a private email, would like to talk to you re NY and homecare , i am a provider also. thanks
  11. by   bknco1
    I am an LPN in ohio, wanting to get into independent work. How do I find an RN supervisor?
  12. by   Lisa1203
    Quote from bknco1
    I am an LPN in ohio, wanting to get into independent work. How do I find an RN supervisor?
    You don't find a supervisor - you find the case. In NY they may be advertised in the Pennysaver or Craigslist. For pediatrics it's the parents usually who most likely will be putting the ad in.
  13. by   yola12
    That's great to know more states do this. It's getting harder and harder to find cases in Ohio. They're changing how you bill and who manages cases. Plus there's too many nurses in Columbus. They're training aides to pass meds in home a well. Lot's of changes and cut backs in medicaid pay in Ohio too.

    MerryMary where are you in Ohio! I just found this site and think its wonderful. i have been doing PDN for 8 years now with 3 clients. Maybe if you are close to my area we can swap info. i have plenty of hours and where I live it does not appear to be saturated as of yet

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