Medical Billing Forum

NPI Numbers => NPI Numbers => Topic started by: jbailey on June 10, 2015, 08:07:14 AM

Title: Adding new Provider to a Practice
Post by: jbailey on June 10, 2015, 08:07:14 AM
First, I love this forum!  I get so much information every time I visit here!

My question:  Dr. has both an individual and a group NPI.  He wants to bring in another Dr. to his practice and that Dr. has his own individual NPI.  What must be done for us to bill correctly?

Thank you!
Joline
Title: Re: Adding new Provider to a Practice
Post by: PMRNC on June 10, 2015, 08:34:02 AM
Assuming all the leg work is done with the provider joining the group, (credentialing, tax id, etc) The individual providers name and NPI would be the"Rendering Provider" and the group practice’s NPI is reported as the "Billing Provider."
Title: Re: Adding new Provider to a Practice
Post by: jbailey on June 10, 2015, 08:38:29 AM
Thank you, Linda.  That Dr has his own tax id, and is credentialed.  So, it's simply a matter of reporting his individual NPI on the claim and our group ID for billing?  Can it really be that simple?

Joline
Title: Re: Adding new Provider to a Practice
Post by: PMRNC on June 10, 2015, 08:40:34 AM
Quote
Thank you, Linda.  That Dr has his own tax id, and is credentialed.  So, it's simply a matter of reporting his individual NPI on the claim and our group ID for billing?  Can it really be that simple?

ONLY if this provider was added to the group and all t's were crossed and all i's were dotted. :)
Title: Re: Adding new Provider to a Practice
Post by: rdmoore2003 on June 30, 2015, 03:43:56 PM
He has his own tax id#, correct?