Author Topic: Billing for a new provider in a group  (Read 1259 times)

omalloy

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Billing for a new provider in a group
« on: October 29, 2009, 01:21:34 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?
« Last Edit: October 29, 2009, 01:29:05 PM by omalloy »

Michele

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Re: Billing for a new provider in a group
« Reply #1 on: October 29, 2009, 06:42:59 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
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