Billing > Facility Billing

Billing for a new provider in a group

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omalloy:
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?

Michele:
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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