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Thread: Mid-Level Provider and Medicaid Credentialling

  1. #1

    Default Mid-Level Provider and Medicaid Credentialling

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    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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