Open Forum

I oversee a Rn run Anticoagulation clinic. We manage in-office patients along with home testers, patients that go to the lab, and patients that have Vna come in. My question is how do we bill for those phone-managed patients? Can we use a  93793?

Good Morning,

I also oversee a Nurse run AC clinic. We are fully tele-managed now. We bill 93793 for all INR's we touch.

I oversee a Rn run Anticoagulation clinic. We manage in-office patients along with home testers, patients that go to the lab, and patients that have Vna come in. My question is how do we bill for those phone-managed patients? Can we use a  93793?

If you have a documentation template that allows you to document the management of and education for the warafarin management then you should be able to bill the 93793. When we are doing an At Home test review, we create what we call an AdHoc Clinic encounter to bill for the date of service. These AdHoc encounters for us allow the information to cross to our billing system. 

Good Morning,

I also oversee a Nurse run AC clinic. We are fully tele-managed now. We bill 93793 for all INR's we touch.

I oversee a Rn run Anticoagulation clinic. We manage in-office patients along with home testers, patients that go to the lab, and patients that have Vna come in. My question is how do we bill for those phone-managed patients? Can we use a  93793?

Hello,

My organization's compliance department has not allowed us to use 93793 for anticoagulation services.  They have stated that to bill this code a provider needs to interpret the results and recommend treatment.  Has anyone else had this concern?  It is challenging when different groups interpret the regulations differently.  

Stephanie

If you have a documentation template that allows you to document the management of and education for the warafarin management then you should be able to bill the 93793. When we are doing an At Home test review, we create what we call an AdHoc Clinic encounter to bill for the date of service. These AdHoc encounters for us allow the information to cross to our billing system. 

Good Morning,

I also oversee a Nurse run AC clinic. We are fully tele-managed now. We bill 93793 for all INR's we touch.

I oversee a Rn run Anticoagulation clinic. We manage in-office patients along with home testers, patients that go to the lab, and patients that have Vna come in. My question is how do we bill for those phone-managed patients? Can we use a  93793?

Hello,

My organization's compliance department has not allowed us to use 93793 for anticoagulation services.  They have stated that to bill this code a provider needs to interpret the results and recommend treatment.  Has anyone else had this concern?  It is challenging when different groups interpret the regulations differently.  

Stephanie

If you have a documentation template that allows you to document the management of and education for the warafarin management then you should be able to bill the 93793. When we are doing an At Home test review, we create what we call an AdHoc Clinic encounter to bill for the date of service. These AdHoc encounters for us allow the information to cross to our billing system. 

Good Morning,

I also oversee a Nurse run AC clinic. We are fully tele-managed now. We bill 93793 for all INR's we touch.

I oversee a Rn run Anticoagulation clinic. We manage in-office patients along with home testers, patients that go to the lab, and patients that have Vna come in. My question is how do we bill for those phone-managed patients? Can we use a  93793?

If you have a documentation template that allows you to document the management of and education for the warafarin management then you should be able to bill the 93793. When we are doing an At Home test review, we create what we call an AdHoc Clinic encounter to bill for the date of service. These AdHoc encounters for us allow the information to cross to our billing system. 

Good Morning,

I also oversee a Nurse run AC clinic. We are fully tele-managed now. We bill 93793 for all INR's we touch.

I oversee a Rn run Anticoagulation clinic. We manage in-office patients along with home testers, patients that go to the lab, and patients that have Vna come in. My question is how do we bill for those phone-managed patients? Can we use a  93793?

Addie are you on cerner would love to chat more about this via phone call if possible

If you have a documentation template that allows you to document the management of and education for the warafarin management then you should be able to bill the 93793. When we are doing an At Home test review, we create what we call an AdHoc Clinic encounter to bill for the date of service. These AdHoc encounters for us allow the information to cross to our billing system. 

Good Morning,

I also oversee a Nurse run AC clinic. We are fully tele-managed now. We bill 93793 for all INR's we touch.

I oversee a Rn run Anticoagulation clinic. We manage in-office patients along with home testers, patients that go to the lab, and patients that have Vna come in. My question is how do we bill for those phone-managed patients? Can we use a  93793?

Good Morning,

I also oversee a Nurse run AC clinic. We are fully tele-managed now. We bill 93793 for all INR's we touch.

I oversee a Rn run Anticoagulation clinic. We manage in-office patients along with home testers, patients that go to the lab, and patients that have Vna come in. My question is how do we bill for those phone-managed patients? Can we use a  93793?

Amanda would you be willing to call me as I have several more questions on this. Do you send the note to dr/provider to sign off on. Everything I am reading states for home tester it's generates an rvu and only billable by md/pa/aprn etcc.. 

Good Morning,

I also oversee a Nurse run AC clinic. We are fully tele-managed now. We bill 93793 for all INR's we touch.

I oversee a Rn run Anticoagulation clinic. We manage in-office patients along with home testers, patients that go to the lab, and patients that have Vna come in. My question is how do we bill for those phone-managed patients? Can we use a  93793?

Amanda would you be willing to call me as I have several more questions on this. Do you send the note to dr/provider to sign off on. Everything I am reading states for home tester it's generates an rvu and only billable by md/pa/aprn etcc.. 

Good Morning,

I also oversee a Nurse run AC clinic. We are fully tele-managed now. We bill 93793 for all INR's we touch.

I oversee a Rn run Anticoagulation clinic. We manage in-office patients along with home testers, patients that go to the lab, and patients that have Vna come in. My question is how do we bill for those phone-managed patients? Can we use a  93793?

Can you share the document that you are referencing that says RNs can no longer bill this service?

 

Kind regards,

(C) (920)655.7795

 

 

Carrie Lemke, DNP, RN, NPD-BC

Nursing Professional Development-Specialist, Clinical Nursing Practice

Midwest Region-Medical Group

 

If you have a question for one of our partnering departments, please feel free to reach out directly. 

 

General questions for the Nursing Leadership Team: AAH-AAMG-NursingLeadership@aah.org

Medical Group Education: AAH-MGEducation@aah.org

APRN/APN/APC students: AMG-APC-IL-StudentServices@aah.org

Illinois Medical Group MA & Undergraduate RN & LPN students: AMG-StudentExternship@aah.org

Ambulatory Anticoag Clinics SharePoint

Scope of Practice SharePoint

 

 

 

 

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This electronic message is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.

Amanda would you be willing to call me as I have several more questions on this. Do you send the note to dr/provider to sign off on. Everything I am reading states for home tester it's generates an rvu and only billable by md/pa/aprn etcc.. 

Good Morning,

I also oversee a Nurse run AC clinic. We are fully tele-managed now. We bill 93793 for all INR's we touch.

I oversee a Rn run Anticoagulation clinic. We manage in-office patients along with home testers, patients that go to the lab, and patients that have Vna come in. My question is how do we bill for those phone-managed patients? Can we use a  93793?

Can you share the document that you are referencing that says RNs can no longer bill this service?

 

Kind regards,

(C) (920)655.7795

 

 

Carrie Lemke, DNP, RN, NPD-BC

Nursing Professional Development-Specialist, Clinical Nursing Practice

Midwest Region-Medical Group

 

If you have a question for one of our partnering departments, please feel free to reach out directly. 

 

General questions for the Nursing Leadership Team: AAH-AAMG-NursingLeadership@aah.org

Medical Group Education: AAH-MGEducation@aah.org

APRN/APN/APC students: AMG-APC-IL-StudentServices@aah.org

Illinois Medical Group MA & Undergraduate RN & LPN students: AMG-StudentExternship@aah.org

Ambulatory Anticoag Clinics SharePoint

Scope of Practice SharePoint

 

 

 

 

---

This electronic message is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.

Amanda would you be willing to call me as I have several more questions on this. Do you send the note to dr/provider to sign off on. Everything I am reading states for home tester it's generates an rvu and only billable by md/pa/aprn etcc.. 

Good Morning,

I also oversee a Nurse run AC clinic. We are fully tele-managed now. We bill 93793 for all INR's we touch.

I oversee a Rn run Anticoagulation clinic. We manage in-office patients along with home testers, patients that go to the lab, and patients that have Vna come in. My question is how do we bill for those phone-managed patients? Can we use a  93793?

Can you share the document that you are referencing that says RNs can no longer bill this service?

 

Kind regards,

(C) (920)655.7795

 

 

Carrie Lemke, DNP, RN, NPD-BC

Nursing Professional Development-Specialist, Clinical Nursing Practice

Midwest Region-Medical Group

 

If you have a question for one of our partnering departments, please feel free to reach out directly. 

 

General questions for the Nursing Leadership Team: AAH-AAMG-NursingLeadership@aah.org

Medical Group Education: AAH-MGEducation@aah.org

APRN/APN/APC students: AMG-APC-IL-StudentServices@aah.org

Illinois Medical Group MA & Undergraduate RN & LPN students: AMG-StudentExternship@aah.org

Ambulatory Anticoag Clinics SharePoint

Scope of Practice SharePoint

 

 

 

 

---

This electronic message is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.

Amanda would you be willing to call me as I have several more questions on this. Do you send the note to dr/provider to sign off on. Everything I am reading states for home tester it's generates an rvu and only billable by md/pa/aprn etcc.. 

Good Morning,

I also oversee a Nurse run AC clinic. We are fully tele-managed now. We bill 93793 for all INR's we touch.

I oversee a Rn run Anticoagulation clinic. We manage in-office patients along with home testers, patients that go to the lab, and patients that have Vna come in. My question is how do we bill for those phone-managed patients? Can we use a  93793?

Can you share the document that you are referencing that says RNs can no longer bill this service?

 

Kind regards,

(C) (920)655.7795

 

 

Carrie Lemke, DNP, RN, NPD-BC

Nursing Professional Development-Specialist, Clinical Nursing Practice

Midwest Region-Medical Group

 

If you have a question for one of our partnering departments, please feel free to reach out directly. 

 

General questions for the Nursing Leadership Team: AAH-AAMG-NursingLeadership@aah.org

Medical Group Education: AAH-MGEducation@aah.org

APRN/APN/APC students: AMG-APC-IL-StudentServices@aah.org

Illinois Medical Group MA & Undergraduate RN & LPN students: AMG-StudentExternship@aah.org

Ambulatory Anticoag Clinics SharePoint

Scope of Practice SharePoint

 

 

 

 

---

This electronic message is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.

Amanda would you be willing to call me as I have several more questions on this. Do you send the note to dr/provider to sign off on. Everything I am reading states for home tester it's generates an rvu and only billable by md/pa/aprn etcc.. 

Good Morning,

I also oversee a Nurse run AC clinic. We are fully tele-managed now. We bill 93793 for all INR's we touch.

I oversee a Rn run Anticoagulation clinic. We manage in-office patients along with home testers, patients that go to the lab, and patients that have Vna come in. My question is how do we bill for those phone-managed patients? Can we use a  93793?