I do credentialing for my practice as well as coding, and this is what normally happens. When Medicare approves his application, the effective date would be the date he started work at your clinic. You can then go back and bill all his charges that were performed on or after this date of service and Medicare will accept the claims. Basically, you have to "hold" all his claims until he is accepted, then go back and bill them.
This will NOT work for commercial payers, however, because they do not "back date" their effective dates. Any DOS prior to the physician being accepted into the group will process according to the patients out of network benefits.
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