Jump to content

Private Duty Nurse I am becoming independent- how do I bill the insurance?

Private Duty   (961 Views 5 Comments)
by JuliaLPN-RN JuliaLPN-RN (New Member) New Member

144 Visitors; 4 Posts

advertisement

My fellow nurses, please help me out. I am an RN with experience in home health and private duty nursing. I am looking to become independent, I already found a patient who has regular insurance. I know it's a hassle to get Medicaid Certified, so I will wait a little on that. For now, I have my LLC set up, I have my NPI and EIN numbers, and my business registration with South Carolina is pending, as is my home office permit. They said I need one, even if all the services are at the patient's home...... I will have everything lined up in about 2 weeks. So I

am ready to get started, I have my patient contract drafted and the family will sign it with no issue. HERE is where I am stopped. How do I go about billing the insurance and HOW MUCH do I bill the insurance? Their website mentions a letter of necessity and a treatment plan. What else do I need? The patient is already approved for a certain number of hours of PDN per week, all I am doing is adding my services within those hours, independent from other providers. I know that every 60 days I need an update treatment plan signed by the MD (by the way, I have signed orders already, and I have professional liability for my LLC)..... but to get to that point of actually billing I need to get started somewhere.....Advice ???? Pretty please :) if you have started as Independent Private Duty Nurse, all and any advice would be so so welcomed.

Share this post


Link to post
Share on other sites

425 Visitors; 2 Posts

I am a home health RN case manager and have majority of my experience in home health. This is my passion. I have tried several short term nursing jobs and always came back to home health. I'm well versed in Medicare. I want to become an independent home health RN too. I'm not sure what hoops I need to go through, start up costs, and how to bill all types of insurance. I already have patients lined up waiting for me. I know it will take some time, but I wish I could speak to someone personally about what I need to do to get started.

Share this post


Link to post
Share on other sites

144 Visitors; 4 Posts

Nurselady19, I am halfway through the process. Waiting to hear back from the state. I too, have a patient lined up. I have called their insurance, gave them all the info and was told all I need is to "link up" to the insurance, or sign up, something along those lines. I have signed up for a FREE course the insurance is offering for small business owners regarding billing. Apparently you can do it straight on their website, without the hoops of a scrub agency. You basically send them a bill, submit online and you find out within minutes if you have errors, or if the bill was accepted. I don't know more than that. I will know more in January. But I feel confident I can do this. I already have a patient contract. Last step will be have the physician sign the POT and I am good to go. I am praying it works out. The potential for doubling my income is right around the corner loooool. I will not hire anyone other than myself for now.

Share this post


Link to post
Share on other sites

144 Visitors; 4 Posts

my personal start up cost so far was about $300.

Share this post


Link to post
Share on other sites

1,531 Visitors; 76 Posts

Have you ever thought about taking a medical and billing course?I think that would really help you

Share this post


Link to post
Share on other sites
×