Need credentialing info for md joining chiropractic office

[Michele]

Question
Hi Michele,
Love your newsletter! A few ?'s I was hoping you might be able to help me with. 1. The Chiro office I work for has recently brought an M.D. on staff 1 day per week. We are doing some billing under him & have filled out the paperwork to have him added to our Medicare and BCBS #'s. He's also listed under our group NPI #, but haven't added him as a provider with the insurance companies we are not contracted with such as Cigna, Aetna and Humana. I have no experience with contracting/credentialing & am not sure what measures to take to ensure any claims billed under him won't be denied. Would we need to notify them or go through some sort of credentialing process? Any advice you could give me would be great.
2. The M.D's title here is the "medical director" and he is prescribing physical therapy, which is being carried out by our PT assistants and is then billed under his name. Does this pose any issues when billing Medicare Part B, especially since he's only here one day per week?
3. We are now doing NCV testing, which is also being billed under the M.D., however he doesn't always see the patient's prior to the test being administered and we often end up waiting for him to sign the prescriptions. In addition we can't send the prescriptions or test results with our claims, since Medicare B only takes electronic claims. Can you suggest any preventative measures we need to take to ensure our claims are processed properly or avoid delays due to the results and/or orders not being included with the claims?
Thank you so much!
Randi

Answer
Hi Randi,
I’m glad you find our newsletter helpful. That is exactly why we write it!
In answer to your first part of your question, if the MD is par with the other insurance companies (that you are not par with) then are you going to bill under his name & tax ID#? If so, then you will need to contact those companies to make sure he has your practice address listed on their files. If he doesn’t want billing done thru his own tax ID (which he may not want since it could be a tax nightmare) then you will be billing all services under your facility name & tax ID number with his name as the rendering physician. If you do not intend to become par with any of the other companies then you probably don't need to do anything to notify them. If you did intend to become par with the companies, then you would just need to contact each one individually and ask them for the paperwork to become an in network provider. Fill it out for your facility, listing both the DC & the MD as providers in the facility.
I’m looking into the second and third questions. I’ll get back to you tomorrow.
Hi Randi,
I wanted to be sure we answered you correctly.
Question 2: Laws vary from state to state, but in NY state (I checked in with my PT specialist) a PT assistant must be supervised by a PT. An MD cannot supervise a PTA. Also, I was told that the PT had to be on the premises while the PTA was with the patient. They also stated that Medicare has a rule that states that to PTA must be in the “line of sight” of the PT when working with a Medicare patient.
Question 3: I’m assuming that NCV testing is nerve conduction velocity. Again laws vary from state to state, but I was advised that NCV testing must be ordered by an MD, so if the MD is not seeing the patient prior to the testing then Medicare (if not other insurance carriers) would probably have an issue with that.
It's probably not good news for you, but I hope that is helpful.
Alice

[CasinosStorm]

Top Online Casinos for USA Players
 
Searching for the best gaming platform takes time, especially for players from the USA. There are countless gambling sites available, but quality varies significantly. We compiled a selection of top-rated sites for safe and secure gambling.
 
For American players everywhere, discovering a secure betting site is a top priority. The market is vast, but online crypto casino differentiates itself thanks to its excellent standing. Gamblers usually want a combination of security and entertainment, which is exactly what a quality platform should deliver.
 
A major benefit of digital gambling is the chance to play for actual money, online casino usa real money offers a vast selection of cash titles that reward instantly. Getting your winnings fast is vital for a positive gaming session, allowing players to enjoy the thrill of the game rather than banking issues.
 
New members are always welcomed with attractive incentives to start their journey successfully. At casino online no deposit bonus, you can find match deposit deals designed to increase your first deposit. Claiming these offers gives you better opportunities to secure a profit without risking too much of your own funds initially.
 
The portfolio of titles today is staggering, appealing to all styles and desires. Whether you like playing slots or card games, casino no deposit bonus has everything you need. From classic fruit machines to modern video slots, the options are virtually endless.
 
Advancements in tech allow players to enjoy the authentic casino atmosphere on the go, best real money online casinos includes mobile compatibility accessible via all major devices. You can easily spin the reels directly from your smartphone, ensuring the excitement never stops.
 
Safety and security are paramount when engaging in real money betting online, casino bonus no deposit implements top-tier security measures to safeguard all transactions and personal information. Using a verified platform ensures fair play and transparency, giving everyone assurance while they spin.
 
To conclude, the world of virtual betting provides limitless fun for those who play wisely, online casino play for real money remains a top destination for those seeking premium features. Join today to experience the ultimate thrill and enjoy the game.
 
Best Real Money Online Casinos n918qt 299986b 
 
https://oke.zone/viewtopic.php?pid=252889
http://tussom.com/forums/showthread.php?tid=337968&pid=422148
http://forums.shlock.co.uk/viewtopic.php?f=2&t=454778
https://www.medicalbillinglive.com/members/index.php/topic,13865.msg47277.html
http://kanechan.sakura.ne.jp/bbs/zatsudan/zatsudan2.cgi?list=thread]mp3