Medical Billing Forum

Billing => Facility Billing => : omalloy October 29, 2009, 04:21:34 PM

: Billing for a new provider in a group
: omalloy October 29, 2009, 04:21:34 PM

We have a new provider in our group.  Our group is credentialed with all payer; however, the new provider is not registered with any payers and does not have a medicare number.  In fact, the only credentials I have for her is the license number and the NPI.   She worked at other facilities before and she has never had problem with the reimbursement.  How should I bill to get reimbursed for such provider?

: Re: Billing for a new provider in a group
: Michele October 29, 2009, 09:42:59 PM

You have to get the new provider credentialed  under the group.  You will have to contact each carrier to see what is required.  For Medicare, if the provider is already a Medicare provider you will have to complete an 855R to reassign the benefits to the group.

Michele