Ilove2code
New
I just learned the incident to guidelines. I have stopped billing charges for a new physician since he is not credentialed with all the Payers yet. He is credentialed with Medicare. I was told if there is a secondary insurance to Medicare to bill the claim under the ancillary physician on site that day (since the claims will deny on the secondary), and list the credentialed physician as the service provider on the claim. I would like to confirm that I should bill under Medicare and if there is a secondary he is not credentialed with, that the balance would have to be written off? Or should he not see the patient at all? Should I hold all the claims until he is credentialed with everyone? What should I do with the claims that do not backdate to the date of service? What about the claims already billed?
He has also been seeing new patients for insurances he is not yet credentialed with. Should I hold claims until credentialed?
I have been asking people of authority when I do not see another physician on the schedule for the same location as the new physician, who the ancillary physician is to be billed under. Does this leave me liable if the ancillary physician was not there?
Any advice or help is so appreciated. Thank you!!
He has also been seeing new patients for insurances he is not yet credentialed with. Should I hold claims until credentialed?
I have been asking people of authority when I do not see another physician on the schedule for the same location as the new physician, who the ancillary physician is to be billed under. Does this leave me liable if the ancillary physician was not there?
Any advice or help is so appreciated. Thank you!!
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