Attention private duty nurses

Specialties Private Duty

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. Which doctors can refer patients?

As well as what forms i need for the patient chart?

Thanks in advance!!

Hi...I am a PDN in WI. I use a billing agency, one that I trust (very important). As far as what forms you need...that depends. Is there a case mgr for each of your patients? If not, there are several forms you need (toss me an email and ill try to help ya with those). I am certified or approved with medicaid and how often I see my patients and how many hours I spend with them all depends on how many "units" they are approved for. As far as billing other insurance companies, you first have to become a provider for them (at least in WI) which means getting paperwork filled out and sent in for approval for each one, takes almost 3 months for some to approve you, if they do. Not sure if I helped you at all, but feel free to msg me and ill give you any info or help I can. Best of luck!

Hi, thank you soo much for your response. my email is [email protected]

I am approved to bill medicaid and they sent me the insurance forms that i need to bill them with. The thing is that i hired a biller, who does that for me. the only thing i need is the forms that will be used for patients and placed in their charts.

Thank you sooo much!!!

Hi...I am a PDN in WI. I use a billing agency, one that I trust (very important). As far as what forms you need...that depends. Is there a case mgr for each of your patients? If not, there are several forms you need (toss me an email and ill try to help ya with those). I am certified or approved with medicaid and how often I see my patients and how many hours I spend with them all depends on how many "units" they are approved for. As far as billing other insurance companies, you first have to become a provider for them (at least in WI) which means getting paperwork filled out and sent in for approval for each one, takes almost 3 months for some to approve you, if they do. Not sure if I helped you at all, but feel free to msg me and ill give you any info or help I can. Best of luck!

Thanks, my e-mail is [email protected]

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