Hello all!
My provider is a APRN who specializes in wound and ostomy care based in Colorado.
I have the following situation and need input:
Physician orders home health services for wound care. The patient chooses to use my APRN. She has her own tax id and clinic. She then schedules a F2F with the patient in their home (patient meets home bound criteria). Spends about 2 hours going over orders, etc. In addition to F2F visits, she will also spend time ordering additional supplies that includes being on the phone with DME & pharmacies, talking to the family.
It is my understanding that in order to bill for her services there must be the order written by the physician. This is the initial certification for 60 days and the physician will bill Medicare G0180.
#1) Does my APRN need to document a plan of care? Or can this only be done by the physician?
#2) For the F2F my APRN should bill E/M with POS of home?
#3) For the time spent on the phone, changing orders, etc is this considered care plan oversight?
#4) If so, once the 30 minute threshold is met, should my APRN bill Medicare G0181?
#5) What provider is responsible for recertification G0179?
If you took the time to read this, thank you!
I hope I have explained this in a way that makes sense!
My provider is a APRN who specializes in wound and ostomy care based in Colorado.
I have the following situation and need input:
Physician orders home health services for wound care. The patient chooses to use my APRN. She has her own tax id and clinic. She then schedules a F2F with the patient in their home (patient meets home bound criteria). Spends about 2 hours going over orders, etc. In addition to F2F visits, she will also spend time ordering additional supplies that includes being on the phone with DME & pharmacies, talking to the family.
It is my understanding that in order to bill for her services there must be the order written by the physician. This is the initial certification for 60 days and the physician will bill Medicare G0180.
#1) Does my APRN need to document a plan of care? Or can this only be done by the physician?
#2) For the F2F my APRN should bill E/M with POS of home?
#3) For the time spent on the phone, changing orders, etc is this considered care plan oversight?
#4) If so, once the 30 minute threshold is met, should my APRN bill Medicare G0181?
#5) What provider is responsible for recertification G0179?
If you took the time to read this, thank you!
I hope I have explained this in a way that makes sense!