Healthyinfo Knowledgebase

Healthyinfo Knowledgebase

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Description

On October 25, 2002, the Centers for Medicare and Medicaid Services (CMS) issued Transmittal 1776 regarding the Medicare Carriers Manual, Part 3-Claims Process, which states, under the heading "Selection of Level of Evaluation and Management Service: Office/Clinic Setting -- In the office/clinic setting when the physician performs the E/M service the service must be reported using the physician's UPIN/PIN.

4. Develop a system for getting angry patients to a staff member who has been trained in managing difficult situations. This tip is excerpted from the March issue of The Gold Sheet, a monthly newsletter published by the Law Office of Carolyn Buppert. The Gold Sheet covers the latest news on quality for NPs. For a 12-month subscription, send a check for $25 to The Gold Sheet, Law Office of Carolyn Buppert, 1419 Forest Drive, Suite 205, Annapolis, MD 21403. A companion newsletter, The Green Sheet, offers the latest information on NP compensation and reimbursement.

Yes. Here are the rules: When an NP conducts a visit with a new patient (covered by Medicare), in the office setting, bill under the NP's number. And, when a physician is not physically within the office suite, bill under the NP's number, no matter whether the visit is with a new or an established patient. Remember, "incident to" rules apply only to patients covered by Medicare. And, there are separate billing rules when the visits take place in other settings--hospital, skilled nursing facility, or patient's home.

Practice pointers: At each visit, review the note from the last visit and revisit the previous complaints. Better yet, maintain a problem list, and revisit each problem until resolved. When you refer a patient to a specialist, follow up to see whether the patient actually went through with the referral. This tip is excerpted from The Gold Sheet, a monthly newsletter published by the Law Office of Carolyn Buppert. The Gold Sheet covers the latest news on quality for NPs.

Have you had a recent sinus infection, otitis media, or mastoiditis? (Each of these is a predisposing factor for meningitis.) This tip comes from The Gold Sheet, a monthly newsletter addressing quality issues for nurse practitioners, published by the Law Office of Carolyn Buppert. To purchase a 12-month subscription, send a check for $30 to Law Office of Carolyn Buppert, 1419 Forest Dr., Suite 205, Annapolis, MD 21403.

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