Attention private duty nurses

Published

Hi, i just recently became a private duty nurse in NY, Since i've just got approved by medicaid and i already have my npi, does that mean i can only bill medicaid and not any other insurance provider?, as well as how often i should visit patients, and which patient i can visit?. Also wanted to know if u have a biller or u bill it ur self?, also where can i get a form for the patient chart, and where i can get the form for physician to fill out for patient( so that the doctor can give me his patients to take care of)? Since i live in ny, i need to know where i can get all the forms that i need for the patient and to put it in the chart?

Thanks in advance!!

Up Vote Up Vote ×

You might want to post this thread in the private duty forum.

Up Vote Up Vote ×

Yes, i just did, thank you. I am new in this web site

thanks soo much!!

Up Vote Up Vote ×

There are so many forums, just about one for every topic imaginable.

Up Vote Up Vote ×
Specializes in Peds Homecare.

Just wanted to clarify something that you may be confused about. I work for an agency in NY State. We were all required to obtain an NPI number, but that is not the same as obtaining your provider number to do home care cases on your own. To be able to do private duty homecare, you must apply and obtain a number for fee-for-service .

Here is a link to that site: http://www.emedny.org/info/ProviderEnrollment/RN-LPN/index.html

I am just trying to help you and try to explain the difference, because I think you have 2 seperate things confused.

Up Vote Up Vote ×

Yes, ur right. That is what i did and i already have my npi and i already got my medicaid approval just this week. The only thing i need is the forms for patient chart and where i can find these forms? And how many forms there should be? If u can give me a web site where i can find these forms i will be thankful.

Up Vote Up Vote ×

Do u know where i can get forms for the patient chart?

Up Vote Up Vote ×
Specializes in Peds Homecare.

My friends that do private duty on their own just keep a notebook, where they write down notes to keep a record of the patients day. They keep a seperate notebook for every patient. All you submit, from what I understand is the hours you are billing for, not nurses notes. Families usually have a care plan in the home. The way my friends get jobs is to advertise on craig's list or from word of mouth. In my area lots of families advertise in the newspaper also. Good luck!:up:

Up Vote Up Vote ×
Specializes in Psych.

So what your saying is that after you get a NPI number your able to bill Medicare directly. Without having to go through an agency.

Up Vote Up Vote ×
Specializes in Vents, Telemetry, Home Care, Home infusion.

moved to private duty nursing forum

Up Vote Up Vote ×
Specializes in private-duty, hospital, LTC, clinic.

Yes, you need an NPI number, but also need to be certified with your state in order to be able to bill your hours to Medicaid. And, just a notebook would NOT cut it in WI. You need a nurses note that covers a full assessment of your client, it is a skilled nurse visit. You may be an independent nurse, self-employed, but still have to abide by your states requirements, and the nurse practice act. One more thing, in the event of an audit you better have more than a notebook and log of your hours. The state can recoup money !!

And, the poc that the family has in the home...was created by a nurse and submitted to the MD for approval and signature. Good luck !!

Up Vote Up Vote ×
Yes, you need an NPI number, but also need to be certified with your state in order to be able to bill your hours to Medicaid. And, just a notebook would NOT cut it in WI. You need a nurses note that covers a full assessment of your client, it is a skilled nurse visit. You may be an independent nurse, self-employed, but still have to abide by your states requirements, and the nurse practice act. One more thing, in the event of an audit you better have more than a notebook and log of your hours. The state can recoup money !!

And, the poc that the family has in the home...was created by a nurse and submitted to the MD for approval and signature. Good luck !!

Can private dury nurse also bill any other insurance? or only medicaid?

As far as the nursing notes for the patients chart, where can i find these nursing notes?

Thanks!!!

Up Vote Up Vote ×
+ Join the Discussion