Nurse Practitioner Qualifications
This article appeared previously in The LINK.
Requirements are revised to make them less restrictive for experienced nurse practitioners and more restrictive for new nurse practitioners in future years.
For Medicare Part B to cover a nurse practitioner they must:
Be a registered nurse authorized by the State and practicing in accordance with State law. -AND-
Be certified by [...]
CPT –25 Modifier
This article appeared previously in The LINK.
Will be required for some diagnostic and therapeutic services
Why? Every procedure has an inherent E/M component. -25 will show the E/M you are billing for is completely separate from the procedure.
Won’t know which CPTs are involved in this new rule
Rule won’t come into effect until at least [...]
Appeals By Phone
This article appeared previously in The LINK.
Effective February 1, 2000
Initial appeal
6 month deadline
Answer while on phone
Not reviewed by a physician
Answer within 1-2 business days
Carrier allowed to limit the number of appeals per call