Medical Billing Forum
Billing => Billing => : tperian July 11, 2017, 07:23:42 PM
-
I have a question that i feel sure has already been addressed in this forum but here goes... I have a FNP who is billing under the physician. Here are my two questions:
1. How should the claim be billed:
Billing Provider: Doctor
Rendering Provider: FNP
Supervising Provider: Doctor
or should it be:
Billing Provider: Doctor
Rendering Provider: Doctor
Supervising Provider: Doctor
2. Would the RENDERING FNP also need to be credentialed with the insurance?
Please provide as specific an answer as possible because i would like to be able to take this information to the doctor.
-
Not all insurances credential FNPs but most do, including Medicare. If the insurance carrier credentials the FNP then the billing should be done as option 1 below. If it is an insurance carrier that does not separately credential the FNP then option 2 would be appropriate.
-
Thank you for your help. For the insurance,is it a situation that insurance REQUIRES the FNP be credentialed in order to bill or is it a situation that the FNP has the option of being credentialed. If she chooses to not be credentialed through the insurance, what are the options?
-
It is not an option. For the insurances that credential FNPs the FNP must credential. Usually insurances that credential FNPs also have a lower reimbursement for services provided by FNPs. They want the services billed indicating the provider that rendered the services.