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Wiki Nurses in Schools

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LeaHarris

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Anyone billing for school nurse visits? We are an FQHC with an agreement with our local schools to have a nurse present during specific hours. I am under the impression that only the school could bill for the nurse services but thought that I should inquire and make sure I am not overlooking a billing oppurtunity.

Thanks!
 
If your FQHC is being reimbursed by the school to loan them your nurse, then the school would be the one to do the billing (if any). If you were to also bill for the nurse, that would be double dipping.

Also, the kids at the school are not necessarily your patients, so you don't have the right to bill for services without consent, etc.
You're not overlooking any opportunity...there is none.
 
I have a question if anyone has input ...
FQHC billing for Behavioral Health visit with students in a local school. If an FQHC Provider visits a school to Provide BH Services for Students. Assuming the Provider and the FQHC site are both credentialed with Medicaid.
Can you bill Medicaid correctly with the FQHC site NPI in Line 32a and the address of the school in in line 32? Similar to a the billing for a Provider visiting a Pt in a Nursing home?
Would you use Place of Service as 50 FQHC or 03 School?
 
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