How to bill for nurse practitioner?
To bill for nurse practitioner services:1. Use the appropriate modifier. For example, use -25 for a consultation, -59 for a follow-up visit, or -99 for an office visit.
2. Include the appropriate CPT code. For example, use 99211 for an office visit with a new patient, or 99212 for an office visit with an established patient.
3. Submit a claim form to the insurance company. Be sure to include the patient's name, insurance information, and the date and time of the service. You should also include a detailed description of the services provided, including the diagnosis and treatment plan.
4. Check the EOB (Explanation of Benefits) to verify that the claim was paid correctly. If there are any issues, contact the insurance company.
Additional tips for billing for nurse practitioner services:
* Keep accurate records of all services you provide. This documentation is essential for billing purposes and in the event of an audit.
* Stay up-to-date on the latest coding and billing regulations. The CMS (Centers for Medicare and Medicaid Services) frequently updates its rules and regulations, so it's important to stay informed.
* Partner with a medical billing company. Medical billing companies can help you manage the billing process, from submitting claims to following up on denials. This can save you time and money.