You are on page 1of 1

Aside from the National Provider Identifier Number and Medicare Provider Number, NPs

can opt to apply for a Medicaid provider number. It is meant for those who wish to participate in

state health care programs that provides benefits to citizens who meet certain eligibility criteria,

like individuals with intellectual disabilities services in the state of Texas (THHS, 2016).

Texas Health and Human Services (THHS) (2016). Form 3684, Texas Medicaid Provider

Enrollment Application. https://hhs.texas.gov/laws-regulations/forms/3000-3999/form-

3684-texas-medicaid-provider-enrollment-application

Evaluation and management (E/M) coding, is the assignment of codes by healthcare

providers for the services provided to patients and are used by Medicare, Medicaid, or private

insurance companies to compensate the provider for services rendered. Current Procedural

Terminology (CPT) codes helps healthcare providers determine the level of visit complexity in

order to assign an appropriate code because not all services healthcare providers render are made

equal and correct billing are essential for accurate, timely reimbursements (CMS, 2016).

Centers for Medicare & Medicaid Services (CMS) (2016). Evaluation and Management

Services. Retrieved from https://www.cms.gov/Outreach-and-Education/Medicare-

Learning-Network-MLN/MLNProducts/Downloads/eval-mgmt-serv-guide-

ICN006764.pdf

You might also like