Skilled Nursing Facility Vs. Nursing Facility… What is the Difference?
This article appeared in the December 2001 issue of The LINK. Are you confused about the different types of nursing facilities? Medicare says the differences between the two are slight. The benefit seems to be the key here. Skilled nursing facilities (Place of Service code 31) patient stays are paid by Medicare Part A. Nursing [...]
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. [...]
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 [...]
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