Legal Tips
Provided by Carolyn Buppert, MSN, JD, ANP

What reimbursement does a 99214 visit bring?

Practices commonly receive about $95 for a 99214 visit. If the patient is a new patient, a level 4 (99204) visit brings about $125. The actual dollar amount a practice receives depends on the managed care organization or insurer paying the bill and the fee schedule negotiated by the practice.

This tip is excerpted from a recent issue of The Green Sheet, a newsletter on compensation and reimbursement for nurse practitioners, published monthly by the Law Office of Carolyn Buppert.

Subscriptions: $25 per year (12 issues), mailed first class. To receive The Green Sheet every month, mail your name, address and a check for $25 to Law Offices of Carolyn Buppert, 1419 Forest Drive, Suite 205, Annapolis, MD 21403.

Updated October 17, 2000


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