Wiki Work comp and nurse case managers

2bedaisy

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I bill for an urgent care clinic in Texas that does a lot of occupational medicine. We recently learned that when a nurse case manager accompanies a Work Comp patient for a visit with the physician, we can bill the nurse case manager at time of service. We have determined that we would bill using 99080, but we are unsure about the charge amount. I have seen in some threads in the forum that $25 is allowed, however, one of our physicians has heard we can charge as much as $100 per visit. Does anyone know what is appropriate in Texas?


Thank you.
 
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