Hello any and all,
I have been digging into this question for some time. Here is my scenario: We recently hired a NPP at our family practice. She is a Registered Dietician, Licensed Dietician, and a Certified Diabetic Educator. We are trying to figure out the best way to encorporate her into our billing process. She is spending close to an hour in consultation managing diet and nutrition in patients with chronic diseases such as diabetes, hypertension, and hyperlipidemia.
Now my conflict: The most info that I have been able to gather states that (according to Medicare) due to her credentials she is only able to bill for a 99211. Due to the time that is needed for her consultations versus the reimbursement for what we can bill (99211) makes this a losing proposition for a service that is important for the health and compliance of our patients.
So, what I'd like to ask is if anyone has any info (possibly documentation) on how this can legally and fairly be billed so our clinic is not taking a loss on each encounter. We would like to continue to provide this service.
Thank you very much to any and all responses.
I have been digging into this question for some time. Here is my scenario: We recently hired a NPP at our family practice. She is a Registered Dietician, Licensed Dietician, and a Certified Diabetic Educator. We are trying to figure out the best way to encorporate her into our billing process. She is spending close to an hour in consultation managing diet and nutrition in patients with chronic diseases such as diabetes, hypertension, and hyperlipidemia.
Now my conflict: The most info that I have been able to gather states that (according to Medicare) due to her credentials she is only able to bill for a 99211. Due to the time that is needed for her consultations versus the reimbursement for what we can bill (99211) makes this a losing proposition for a service that is important for the health and compliance of our patients.
So, what I'd like to ask is if anyone has any info (possibly documentation) on how this can legally and fairly be billed so our clinic is not taking a loss on each encounter. We would like to continue to provide this service.
Thank you very much to any and all responses.