If you look at any HCFA FORM THERE IS A LEGAL AFFADAVITT for the RENDERING physician. The rendering physician is also the physician whose NPI is associated with the charges. The physician you would be billing under IS NOT THE PHYSICIAN who "actually" rendered the services. This would be considered fraud. I am a consultant and have represented at least five practices who made this same mistake. The last time I went to a legal proceeding befor the Federal Attorneys in NYC with a physician whose staff did the same thing-and on a Medicare claim no less. I STRONGLY suggest you not do this.
If anything, wait until this physician is properly credentialed-ask the carriers to list his/her participation retroactiely-they can do that. When you have confirmation of their par status then submit the claims. If not, you are exposing your practice to a fraud charge/audit.
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join