Billing > Billing

HELP! BILLING UNCREDENTIALED NP

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bosox85:
A provider (NP) started at my practice (which consists of ALL NPs) on August 4 and I was told to bill for her under another NP's NPI. Being fairly new to Medical billing, I did as I was told. I have been doing a lot of research, and believe how I was told to bill is VERY wrong. This provider is STILL not credentialed or contracted. I have been holding the charges for this NP all month. Am I correct that this practice is wrong and could have some serious ramifications? I am a department of 1 and need to speak for myself, but want to make sure I am correct in my thinking.

I thank you very much for reading this far and appreciate any responses.

Michele:
You are not supposed to bill for one providers services under another providers NPI unless it is a supervising situation.  It cannot be done simply to get the services paid for.  It sounds like that is why it is being done in this case, since the NP is not credentialed yet.  When a new provider is added to a group the billing should not be submitted until the credentialing is completed.

bosox85:
Thank you so much for your response. This is exactly what I suspected. I think I may be looking for a new place of employment.

Michele:
 :(   Sorry that you find yourself in this position, but it's a smart decision.  The biller is just as responsible.

PMRNC:
I would add that you shouldn't send any more claims since you know them to be false claims from this moment on. Even if you were to give notice today, it won't protect you from any claims you filed when you learned of the problem.

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