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Do I need a license to open medical billing Home-office in NJ

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jackieb3365:
I am also opening a business for physician billing services in NJ.  I have a Certification for Medical Billing.  I would only be doing the CMS 1500 for physicians seeing basically Medicare patients in a nursing home.

I went to the NJ website for small businesses.  I went to the county store and got the Certificate of Trade Name.  Then I filled out the NJ Business Registration Form on the NJ Website and mailed it in.

I went as a Sole Proprietor.  Not an LLC.  As my company is basically me.   

I have a question, I saw on this website that we need a certification for billing Medicare and Insurance Companies?  Can you explain that to me, do I need to get this.

Also, thanks for the tip -  I will check out registering under the NJ DOBI ...  and getting a certificate of formation.

Let me know what else I need to do to get started up to bill Medicare and insurance companies...  I want to make sure I am compliant.

Pay_My_Claims:
what type of certification?? Do you mean you need to be a certified medical biller to file claims?? If that is your question, then NO you don't have to be certified.

Michele:
NJ has laws regarding medical billing.  I don't think it's the certification you (Charlene) are referring to.  Hoping Medauthor will clarify this for her. 

Michele

Pay_My_Claims:
Yeah NJ sucks , because if they are saying also that even though I am based in NC, that I would have to be registered to bill for clients based in NJ, I would never take on a NJ client. Personally I prefer NC clients all around. Its easier for me to go "break a leg" in case I don't get paid!! I'm skeptical of clients who will outsource to out of state providers and not looking at someone local. It just doesn't make sense to me. I am very very leeeeeery of them.

medauthor:

--- Quote --- Hoping Medauthor will clarify this for her. 

--- End quote ---

I thought I had...above...LOL

Jackie, sorry we didn't 'connect' the other night....Yes, even if you are a sole proprietor, you need to register with the NJ DOBI.  You would only send in a Certificate of Formation had you registered as an LLC, but you didn't, so therefore, I would only send in your trade certificate you rec'd when you registered with the county.  When you print out the requirements (what to send in with your application), you will see all the items you need to submit when you send it in.  If you want my contacts at the NJ DOBI, let me know...

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