ARNPs and PAs can bill for all code levels when billing under their own billing numbers It is suggested that the ARNPs and PAs consider carefully whether the required high level of medical decision making necessary to meet the standard for level 4's and 5's are within the scope of their practice. Either/or, which is the same rule for physicians. Please be aware, you may NOT combine the rules - you may not use sections of the 1995 rules with sections of the 1997 rules.

No, ARNPs and PAs may also bill Medicare and Medicaid under their own billing (UPIN) number.Medicare now prohibits billing for the combined or split services of a physician and an ARNP or PA for outpatient E/M services for new patients, consultations, or established patients presenting with new problems in the physician's provider number. Our physicians are part of a group practice, and therefore, "cover" each other's patients.

There is a very simple criteria set forth to help you make this type of decision. A person appropriate for Outpatient treatment must be able:

After obtaining the appropriate credentials, ARNPs and PAs must complete an application package furnished by the Faculty Group Practice. See your Departmental Administrator for an application package. Are the rules for combined/split services for inpatient and outpatient services the same? (Services where both the physician and the ARNP/PA see the patient).

It is usually outpatient surgery, but Dr. Dowden can arrange accommodation in the overnight suite. Patients from out-of-town often choose to stay in one of the nearby hotels.

According to COM policy, ALL ARNPs and PAs involved in any patient care activities MUST obtain both Medicare and Medicaid provider numbers.

All services may be performed and billed as long as those services fall within the scope of their practice.

A: Scribes only write what another person does. IMPORTANT: The term "scribe" DOES NOT APPLY when the person writing also performs professional services. The use of scribes is strongly discouraged and they may only be used when the term accurately applies.

Yes, for example, when an E/M service and a procedure are done on the same day, the modifier -25 would need to be attached to the E/M service. The modifiers should be used the same way a physician would use them.

Yes, as long as, (as with the physician), the service does not fall within the Medicare surgical global period. Medicare states that the global period begins within 24 hours of surgery. No, the ARNPs and PAs must be directly employed by the University of Florida or must have some other contractual relationship with the University.

A: Yes, but Medicare rules state the ARNP or PA may ONLY bill under their own number and cannot bill under the physician's number when either 1) performing a service on their own or, 2) for outpatient services only, when combining or splitting an Evaluation and Management Service (E/M) with a physician for: a new patient; a consultation; or an established patient with a new problem.

Most plastic surgery procedures are performed on an outpatient basis. In some cases, usually when the surgery is very extensive or complications arise, an overnight stay might be required.

With inpatient or residential treatment, clients reside in and receive their treatment at the same facility, and do not interact with the outside. Outpatient treatment is offered to persons who live at home and continue to work while in treatment.

There is a good balance between the two. The curriculum combines concurrent inpatient and outpatient experiences beginning in the PGY-1 (half-day outpatient/wk), and C/L psychiatry rotation is now during PGY-2. Thus, all of PGY-3 is an outpatient experience, including long-term psychotherapy.

Geriatric Inpatient Services at the University of Iowa Hospitals and Clinics incorporate two inpatient units. One unit cares for the more aggressive patients who are behaviorally acting out. The second unit cares for patients who are depressed, but have fewer behavioral management issues. Consultation services are also available to other in-hospital clinics, to long-term care facility staff, or by physician referral.

Caring for the senior population means not only providing for their physical needs but for their emotional and behavioral needs as well. With Alzheimer's Disease and depression so prevalent in Iowa's aging population, a thorough evaluation of significant behavioral changes in an older person is more important than ever.

The surgery is performed on an outpatient basis in all cases unless there is a medical reason to stay overnight in the hospital.

Physicians are responsible because they have the necessary information to complete the referrals, i.e., diagnosis and procedure codes.

Using an audit tool that complies with CMS (HCFA) Guidelines prior to billing charges on a regular basis along with formal staff training ensures accurate E/M level coding.

part of the team ministers' training and formation, they visited people in our congregations. It provided the opportunity for people to ask questions about Total Ministry and began to establish a pastoral relationship between congregations and their new ministers.