Coder's Cranium

Nonphysician Providers & Incident To Checklist

Check state laws PLUS this crucial document. In last week’s Coder’s Cranium, we started a checklist of 3 things you should know to correctly bill for a nonphysician practitioner’s services — and stay compliant. This week, we complete the checklist with advice for items 4, 5 & 6. 4. Have You Distinguished Auxiliary Personnel From NPP Services? NPPs can [...] Related articles:

  1. Nonphysician Providers and Incident-To: Your Coding Questions AnsweredHere’s why you should keep your physicians’ work schedules on...
  2. Use This Incident-To Checklist to Breathe Easy During an Audit You don’t need to second-guess the way you bill...
  3. Steer Your Incident-To Coding Using These 4 Questions 100 percent pay possible if NPP follows internist’s care...

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November 1, 2009
Coding Challenge

Does CNS Count as NP for Time-Based Coding?

CNS = NP = PA for CPT, but Check State Law Question: Does a certified nurse specialist (CNS) count as a nurse practitioner (NP) for reporting 99213 based on time? Answer: Yes, for CPT purposes, a certified nurse specialist billing under his own provider number counts the same as a nurse practitioner or physician assistant. So if [...] Related articles:

  1. Asthma Attack Coding: When To Use Prolonged or High-Level E/M     Checklist deters payback requests for insufficient +99354...
  2. E/M Coding Basics: MDM Maximizes Payup for Hepatitis Diagnosis4 ways to get what your practice really deserves for...
  3. Mid-Level E/M Coding BreakdownOur chart shows you how to choose among 99212, 99213 &...

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October 26, 2009