Results 1 to 2 of 2

RNFA Billing-at a complete loss

  1. #1
    Question RNFA Billing-at a complete loss
    Exam Training Packages
    Our RN recently receieved RNFA certification, she will begin assisting our general surgeon and OBGYN during surgeries. I'm at a complete loss for where to begin billing for an RNFA. I'm unsure what modifier to use, what information needs to be provided in the operative note, if we bill under the surgeons NPI, and if we adjust the fee to represent the RNFA's portion or we bill out the full surgery fee......Assitance would be greatly appreciated. At this point, I don't even know where to begin. I've researched the internet and forums and found conflicting or no information.

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by AR2728 View Post
    Our RN recently receieved RNFA certification, she will begin assisting our general surgeon and OBGYN during surgeries. I'm at a complete loss for where to begin billing for an RNFA. I'm unsure what modifier to use, what information needs to be provided in the operative note, if we bill under the surgeons NPI, and if we adjust the fee to represent the RNFA's portion or we bill out the full surgery fee......Assitance would be greatly appreciated. At this point, I don't even know where to begin. I've researched the internet and forums and found conflicting or no information.
    I believe you bill their services with an AS modifier to indicate they are a non-physician provider of service. The operative note just needs to state the name and credential of the assistant the same as when a physician is the assistant surgeon. I also believe you need to apply for an NPI number for the RNFA provider so she can bill under her own number. I found a lot of this information on a Blue Cross Blue Shield website. Not all insurance carriers recognize the non-physician practitioner, so it would be best to check with your main insurance carriers before starting to bill out these assists.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

Similar Threads

  1. Complete Loss-Epicondyle Scraping??
    By AR2728 in forum Orthopaedics
    Replies: 0
    Last Post: 03-02-2011, 09:15 AM
  2. I&D assistance, at a complete loss!
    By AR2728 in forum Orthopaedics
    Replies: 2
    Last Post: 12-08-2010, 09:27 AM
  3. Billing for RNFA - Does anyone know if an RNFA can
    By belmontg in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 06-19-2009, 07:33 PM
  4. Billing for RNFA - bill for wound vac changes
    By belmontg in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-18-2009, 11:21 AM
  5. At a Complete loss for coding this procedure
    By AR2728 in forum General Surgery
    Replies: 2
    Last Post: 02-06-2009, 11:46 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.