Not sure what you are looking for but I agree with that statement, except for one thing. Thirdparty payers don't fall under the false claims act, only governmental payers.
RNs and LPNs are not credentialed providers thru insurance, at least none that I am aware of. It is also outside an RN or LPNs scope of practice to work independently like that. When you are billing for those services under a physician or NPP you are saying that provider was supervising and is responsible for the care/treatment rendered. How can they supervise or be responsible if they aren't there?
Even though false claims only apply to governmentals the scope of practice applies to the provider and doesn't change regardless of the payer in question.
Laura, CPC, CPMA, CEMC
- ICD-10 Training
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join