AAPC - Back to school
Results 1 to 2 of 2

Thread: New physician not credentialed

  1. #1
    Join Date
    Apr 2007
    Las Vegas, NV

    Question New physician not credentialed

    AAPC: Back to School
    Is it appropriate for a practice to bill a new physician's (physician new to area & practice-not credentialed) services under a supervising physician before the new physician is credentialled?

    I have always submitted claims for new providers under their own ID's (obviously received denials as non-par) then rebilled the claims after provider is credentialed - doing this eliminated a denial for timely filing and and now I'm wondering if this is the appropriate way to handle this situation.

  2. #2
    Join Date
    Apr 2007
    Phoenix, AZ


    That is what we used to do but leads to a lot of denials. We then created separate insurance carriers for non-credentialed providers for those insurances (Medicare, etc) who would retro credentialing. For the insurance companies who don't retro credentialing dates, it's better for that provider not to see the patient's unless there is an out of network benefit AND you either tell the patient or you write off the non par portion.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

Similar Threads

  1. Physician not Credentialed
    By Licorice5 in forum Compliance General Discussion
    Replies: 1
    Last Post: 06-19-2013, 12:05 PM
  2. Replies: 2
    Last Post: 11-11-2011, 05:50 AM
  3. NP not credentialed bill incident to?
    By abeer in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-02-2011, 02:13 PM
  4. not credentialed yet
    By ctownsend in forum Billing/Reimbursement
    Replies: 4
    Last Post: 08-11-2010, 01:35 PM

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.