Medical Billing Forum

General Category => General Questions => : asilva03 April 18, 2016, 04:08:08 PM

: Credentialing NP in NY
: asilva03 April 18, 2016, 04:08:08 PM

Do NPs have to have an MD admit a patient to a hospital on their behalf to credential with BCBS in NY or can they use a hospitalist group if they do not have any hospital privileges?

Thank you for your help!

: Re: Credentialing NP in NY
: Sriram_Sub April 19, 2016, 08:34:58 AM

NY Blue cross blue shield does credentialing based on information completed in CAQH UPD. If you could look at that portal, under Hospital affiliations section, you can only see a space for the NP to furnish an individual's name and Not a name of a hospitalist group.

So, it should only be an MD's name who covers for this NP. Hope this clarifies.

Regards
Sriram