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Mid-Level Provider and Medicaid Credentialling

  1. #1
    Default Mid-Level Provider and Medicaid Credentialling
    Medical Coding Books
    Another Georgia question...

    Our current NP has resigned and our new NP will be taking over her same schedule, which already has Medicaid / Medicaid CMO patients scheduled. Can we bill under the provider who signs off on every chart?

    Or do we have to move all her Medicaid /CMO patients to other schedules and wait until she's fully credentialled?

  2. #2
    Columbia, MO
    You cannot bill under a provider that is not present while the patient is there, and if a physician in your practice did not originally see the patient for the same diagnosis then you cannot bill under a supervising physician. The incident -to provisions must be met to bill under a physician when another provider is the one rendering the service.

    Debra A. Mitchell, MSPH, CPC-H

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