In a patient-centered world, RNs would be able to practice freely wherever needed, right?
To my knowledge, Medicare rules remain pretty restrictive and unchanged regarding reimbursing for home visits by an RN. https://www.medicare.gov/coverage/home-health-services
https://www.ncoa.org/article/seven-things-you-should-know-about-medicares-home-health-care-benefit/
There are E/M codes (99341 - 99350) that can be used for home visits but only when these are conducted by a physician or non-physician practitioner (PA, NP, CNM).
What patient population / service is of interest in your organization?
Many services can be provided via Telehealth until at least September 30th which is the deadline by which Congress must act to either extend or remove COVID era flexibilities.
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Leslie McDowell ANP-BC DNP RN
Northwest AHEC/Wake Forest Univ Sch of Med
Winston Salem NC
ANP-BC DNP RN
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Original Message:
Sent: 09-03-2025 10:33
From: Anthony Kostelnak
Subject: RNs doing Home Visits
Hello fellow nurse leaders,
Our organization is exploring a new workflow for our nurses to conduct patient visits in their homes.
I'm hoping to learn from your experiences with similar programs. Specifically, I'd like to ask:
- Do you have a structured workflow for nurses performing visits in the home? If so, what does that process look like, particularly regarding documentation and coordinating with the supervising provider?
- What CPT/HCPCS codes do you typically use for these visits?
- How do you handle the billing for these visits? Are they billed "incident-to" a physician's service, and what are the key challenges you've encountered with getting these services reimbursed by different payers (Medicare, Medicaid, and private insurers)?
Any insights, sample workflows, or advice you can offer would be incredibly helpful as we work to develop our own program.
Thank you in advance!
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Tony Kostelnak
Sr. Mgr, Nursing
New York NY
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