Results 1 to 5 of 5

Adding a new surgeon

  1. #1
    Question Adding a new surgeon
    Medical Coding Books
    Does anyone know if a surgeon can perform surgeries if they are not credentialed with the insurance yet? We would maybe hold the charges expecting that the effective date would be retro. Any advice would be appreciated. New doctor starting 12/1/08. Thank you.

  2. #2
    He can perform them but he will be considered "out of network" . It would be appropriate for him to notify patients of this prior to scheduling them for surgery as well.

  3. #3
    We do alot of credentialing and the best advice I can give you is to start the credentialing process ASAP. If you are adding him to an existing group it should not take as long though. Some ins companies will retro to the start date you put on the application even if it takes a couple of weeks to approve you can hold the claims and you should be ok.

  4. Default
    I agree with mbort. Seen it happen.

  5. #5
    I agree w/mbort also. We have only have Medicare actually retro the effective date, even some insurances told us they would and then didn't!

Similar Threads

  1. Replies: 1
    Last Post: 10-03-2011, 08:42 AM
  2. Colovesical fistula, assistant surgeon, co-surgeon???
    By ksb0211 in forum General Surgery
    Replies: 1
    Last Post: 07-11-2011, 01:44 PM
  3. Surgeon & Assistant surgeon Modifiers????
    By keke74 in forum Outpatient Facilities
    Replies: 2
    Last Post: 09-27-2010, 03:00 PM
  4. Adding new EP Dr
    By heatheralayna in forum Cardiology
    Replies: 5
    Last Post: 09-24-2009, 10:13 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.