Medical Billing Forum

Billing => Billing => : Christy March 06, 2018, 01:22:41 PM

: Starting Small Group Practice
: Christy March 06, 2018, 01:22:41 PM

Hi all,

I have a client (LMHC) who has a group NPI and TIN.  Right now, he is solo and credentialed with many insurance panels. He wants to hire another LMHC to his group to also be credentialed. I am making a list of what to do prior to contacting insurance companies. Am I missing anything?

1) CAQH for new provider
2) license for new provider
3) W9  - group name and group TIN?
4) malpractice- new provider carries own malpractice? or is there a such thing as group malpractice?


thanks!!!

: Re: Starting Small Group Practice
: Sriram_Sub March 08, 2018, 12:56:31 PM

I guess it covers pretty much it. Good luck.

: Re: Starting Small Group Practice
: PMRNC March 08, 2018, 06:04:30 PM

No such thing as group malpractice though some groups have group coverage as a "SUPPLEMENTAL" type of coverage but it's more like E/O (errors and omissions) Each provider must carry their own policies.

: Re: Starting Small Group Practice
: Christy March 09, 2018, 10:37:16 AM

thank you both!  I love billing, but hate credentialing!     ???

: Re: Starting Small Group Practice
: Christy March 09, 2018, 10:39:17 AM

what goes on line # 1 of the W9?  indiv provider's name or group name?

thank you!!!!!!!!!!!

: Re: Starting Small Group Practice
: Michele March 11, 2018, 10:57:06 PM

If you are doing the W9 for the business (which is what it sounds like) then the group name goes on line 1.

: Re: Starting Small Group Practice
: Christy March 12, 2018, 12:02:33 PM

thank you , Michelle!

as far as credentialing a brand new (never credentialed provider ) into a group, when the applications require a W9- does the provider's name appear on the W9 at all?  Or just the group name?

also- I assume that the group owner signs the W9?

sorry- I have never set up a group before!  and thank you!

: Re: Starting Small Group Practice
: Michele March 13, 2018, 03:46:11 PM

The W9 is the information regarding the EIN/Tax ID.  Since that is the group, the individual's name is not listed on there.  The W9 must be signed by an authorized representative of the group, which in many cases is the owner.

: Re: Starting Small Group Practice
: Christy March 15, 2018, 09:18:55 PM

thanks so much, Michele!  very helpful   :)