I met with my biller this morning to talk about means of getting paid for the work I do coordinating Home Health Nurses at a local Independent Living Facility.

Basically, I have to:

cool Document time spent in doing each activity.

cool Make sure that activity does not occur 24 hours before, or after, I see the patient, or it doesn't count.

cool At the end of the month, count up the time spent on each patient.

cool If it amounts to more than 15 minutes, I can bill for it, if I can produce some kind of documentation that supports my "alleged" story that I was "allegedly" helping someone.

She wanted a little note for each superbill I turned in, summarizing my activities, plus an ICD-9 code or two, if possible, in case I got audited.

She suggested making myself a little Excel file to keep track of my time, but I think I can coerce Amazing Charts into keeping track of this for me.

My comment was, "You can tell that they don't want to pay me for doing this."


Brian Cotner, M.D.
Family Practice