Billing > Billing

HELP! Billing for FNP

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tperian:
I have a question that i feel sure has already been addressed in this forum but here goes... I have a FNP who is billing under the physician.  Here are my two questions:
1.  How should the claim be billed: 
                  Billing Provider:  Doctor
                  Rendering Provider: FNP
                  Supervising Provider:  Doctor
   or should it be:
                  Billing Provider:  Doctor
                  Rendering Provider: Doctor
                  Supervising Provider:  Doctor
2.  Would the RENDERING FNP also need to be credentialed with the insurance?

Please provide as specific an answer as possible because i would like to be able to take this information to the doctor. 

Michele:
Not all insurances credential FNPs but most do, including Medicare.  If the insurance carrier credentials the FNP then the billing should be done as option 1 below.  If it is an insurance carrier that does not separately credential the FNP then option 2 would be appropriate.

tperian:
Thank you for your help.  For the insurance,is it a situation that insurance REQUIRES the FNP be credentialed in order to bill or is it a situation that the FNP has the option of being credentialed.  If she chooses to not be credentialed through the insurance, what are the options?

Michele:
It is not an option.  For the insurances that credential FNPs the FNP must credential.  Usually insurances that credential FNPs also have a lower reimbursement for services provided by FNPs.  They want the services billed indicating the provider that rendered the services.

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