Medicare Compliance & Reimbursement

Should you bill for 99211 along with your injection codes? See if you can answer this and 3 other questions. If your physician waives charges for patient visits with a nurse, you could be costing your practice deserved reimbursement. Remember that to report 99211 (Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician. Usually, the presenting problem[s] are minimal. Typically, 5 minutes are spent performing or supervising these services), the person providing the care must have the necessary training to perform an E/M service, the documentation must show medical necessity, and the patient must be established to your practice. But also keep in mind that to document medical necessity for 99211, the practitioner must perform an actual E/M service -- you can't bill the code just to get any simple service paid. Not just for nurses: Remember [...]