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  • 1.  99211- Billing Nurse Visits

    Posted 07-18-2024 17:03

    Hi all,

    Curious if your organization uses 99211 (CPT code) for patient visits. If so, what are the procedures performed during this visit?  Currently, my organization does not bill for return BP checks. Wondering if we are missing out on this opportunity. 

    Best, 



    ------------------------------
    Rosie BSN,RN
    Clinical Nurse Educator
    Chicago, IL
    ------------------------------


  • 2.  RE: 99211- Billing Nurse Visits

    Posted 07-19-2024 16:20

    ANY nurse visit is billed with 99211. 

    Our organization is moving away from this and requiring all of the nursing visits to be booked under a physician, and a physician must see the patient and will be booked as 99212. Sadly I don't control the Navy and DHA. 

    We charge for every encounter. Suture removal, protocols (diaper rash, N/V, UTI, Cold Sxs, etc), blood pressure checks, Depo shots/med admin, ear lavage, etc. 



    ------------------------------
    Samantha Arnold BSN, RN
    Naval Hospital Twentynine Palms
    Twentynin Plm CA
    (951)691-9619
    ------------------------------

    Original Message


  • 3.  RE: 99211- Billing Nurse Visits

    Posted 07-20-2024 10:23

    We bill for RN visit if it includes patient education (well documented), B/P check, Medicare Annual Wellness Visits, A1C and Diabetes Ed. Our facility is really engaging the RN to support the patient care. 

    Regards, Terri Seamans, RN, BSN, AMB-BC

    Primary Care Nurse 

    Mercy Hospital 

    Portland Me



    ------------------------------
    Terri Seamans BSN RN AMB-BC
    Northern Light Health
    Westbrook ME
    (207)303-7306
    ------------------------------

    Original Message


  • 4.  RE: 99211- Billing Nurse Visits

    Posted 07-22-2024 09:09

    Good Morning.

     

    Curious if your patients are receiving bills for the RN visits and how that is accepted by the patients if so.


    Thank you,

     

     

    Laurie Paoletti-Kortas, RN BSN

    Director of Quaility and Safety, Primary Health

    Henry Ford Medical Group

     

    Mobile: (586) 944-9855

     

     



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    Original Message


  • 5.  RE: 99211- Billing Nurse Visits

    Posted 07-20-2024 09:00

    Hello,

    We have a structure for this at our organization in Cleveland. We do use nurses for billable visits for task work such as suture removals, BP checks, Diabetes education, vaccinations and medication administrations. When tasks are coupled with education and/ or care coordination, we do bill for the visit with a 99211. It provides a mode of access for patient care needs and helps to save provider visits for more acute or in-depth types of visits.



    ------------------------------
    Mark Kohler MSN RN CNML
    Director of Nursing- Ambulatory West
    Metrohealth Medical Center
    Amherst OH
    ------------------------------

    Original Message


  • 6.  RE: 99211- Billing Nurse Visits

    Posted 07-20-2024 15:17
    If your patient has HTN and is scheduled for a follow up blood pressure check that was documented as necessary by the previous provider visit, you are leaving money on the table and using your RN as part of the room rate instead of as a skilled reimbursable provider . 99211 is a type of incident -to billing. There must be a provider visit that indicates the need (medical necessity)  for the follow up blood pressure checks. 

    ---------------

     

    Aleesa M Mobley PhD APN  (she/her/hers) Why Pronouns Matter

    Assistant Professor - Clerkship Director [Pain Management/Substance Use Disorder]

    Physical Medicine & Rehabilitation - Neuro Musculoskeletal Institute 

    Lippincott Procedures: Subject Matter Expert - Wolters Kluwer Publishing


    Rowan Medicine Bldg., 42 E. Laurel Rd, Ste 1700, Stratford New Jersey 08084 

    T: 856-566-7010 | F: 856-566-6956| C: 856-230-1229 

    mobley@rowan.edu | som.rowan.edu 
    Learning is not attained by chance, it must be sought for with ardor and attended to with diligence [Abigail Adams (1744 - 1818), 1780].



    Original Message


  • 7.  RE: 99211- Billing Nurse Visits

    Posted 07-21-2024 13:28
    This is a good start for demonstrating nursing value but I dream of the day we didn't need to bill these visits as incident-to. 
    Eileen



    Original Message


  • 8.  RE: 99211- Billing Nurse Visits

    Posted 07-22-2024 09:12

    Good Morning,

     

    We met with our billing team and there are elements of documentation required to bill for nursing visits.  This is required to pass audit.  This is a process we are currently working on to identify billable services and standardize across service lines. 

     

    Laurie Paoletti-Kortas, RN BSN

    Director of Quaility and Safety, Primary Health

    Henry Ford Medical Group

     

    Mobile: (586) 944-9855

     



    CONFIDENTIALITY NOTICE: This email contains information from the sender that may be CONFIDENTIAL, LEGALLY PRIVILEGED, PROPRIETARY or otherwise protected from disclosure. This email is intended for use only by the person or entity to whom it is addressed. If you are not the intended recipient, any use, disclosure, copying, distribution, printing, or any action taken in reliance on the contents of this email, is strictly prohibited. If you received this email in error, please contact the sending party by reply email, delete the email from your computer system and shred any paper copies.

    Note to Patients: There are a number of risks you should consider before using e-mail to communicate with us. See our Privacy & Security page on www.henryford.com for more detailed information as well as information concerning MyChart, our new patient portal. If you do not believe that our policy gives you the privacy and security protection you need, do not send e-mail or Internet communications to us.



    Original Message


  • 9.  RE: 99211- Billing Nurse Visits

    Posted 07-23-2024 07:43

    When I was employed by a hospital group in Primary Care, we did bill out 99211 visits whenever a patient was seen by a RN and education was completed or an assessment was required,

    Now that I work for a FQHC organization, we do not bill out 99211 visits, as I have been told we cannot (although I am still trying to understand this) 



    ------------------------------
    Jennifer Pease RN
    RN Care Coordinator
    NOTCH
    Saint Albans VT
    (802)370-5749
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    Original Message


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