Hello. You mentioned in a video that if a provider wants to start their own practice, they must disaffiliate themselves from current employer group in order to get credentialed with their own company. What if I still work at other company and want to do credentialing simultaneously for my new business, will it work? Or how to go about it? Thank you for your answer.
Hi there and thank you for watching! I apologize if I misspoke in that video. That is not true and you can be affiliated with as many groups as you’d like. When claims are processed and you’re the rendering provider on a claim, they insurance company checks to make sure your individual NPI (NPI 1) is affiliated with the billing group’s EIN and group NPI (NPI 2). That is how one provider can have multiple employers at once and not affect the other employers processing of claims. I hope this helps and good luck!!
Dear Jennifer, I hope this comment finds you well. I wanted to take a moment to express my gratitude for the knowledge I’ve gained from your videos on credentialing. Your insights have been incredibly valuable, and I appreciate all the effort you put into sharing this information. Currently, I am working with a Nurse Practitioner ( DNP, PMHNP Title: PMHNP) specializing in Psych/Mental Health, and I need to enroll her with MaineCare (Medicaid ME) and Optum. She requires both individual and group contracts. Could you please advise whether it is necessary to credential her with Medicaid ME before proceeding with her credentialing with Optum? Thank you in advance for your assistance. Best regards, Zahoor Minhas
@@zahoorullahminhas8533 hi there and thank you for your kind words. I’m so happy to hear my videos have been helpful to you. I would recommend initiating credentialing with the payers ASAP while simultaneously asking for an enrollment contract. You can always let the other insurances know the Medicaid credentialing is in process. Some may require it to be completed before they move forward with their application for their Medicaid lines of service, but at least it would be on its way to completion when that happens. Good luck and I appreciate the support!
Hi, I need to discuss a case We have a multi location practice, we have MD how is the partner in the business and the group have a group txt ID and NPI under his name and all the other providers are enrolled under the group and now we are planning to send claims to the insurance, Do the owner provider has to sign all the encounters or any of the rendering provider can also do that!
Hi and thank you for watching my videos! It depends on multiple factors. The biggest one is if you have an MD who is listed as the mid-levels (PAs and NPs if you have them) supervising doctor at their boards and what the state’s requirements are for them. It also can be depending on your supervising agreement with the mid-levels and the doctors internally. The insurances in your area may have their own guidelines for this too. You would need to check with each. As far as for billing, if all are individually credentialed and enrolled under the group contract as individuals then you can bill under them and they can sign their own notes for claims purposes. Good luck!
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Hello. You mentioned in a video that if a provider wants to start their own practice, they must disaffiliate themselves from current employer group in order to get credentialed with their own company. What if I still work at other company and want to do credentialing simultaneously for my new business, will it work? Or how to go about it? Thank you for your answer.
Hi there and thank you for watching! I apologize if I misspoke in that video. That is not true and you can be affiliated with as many groups as you’d like. When claims are processed and you’re the rendering provider on a claim, they insurance company checks to make sure your individual NPI (NPI 1) is affiliated with the billing group’s EIN and group NPI (NPI 2). That is how one provider can have multiple employers at once and not affect the other employers processing of claims. I hope this helps and good luck!!
Dear Jennifer,
I hope this comment finds you well.
I wanted to take a moment to express my gratitude for the knowledge I’ve gained from your videos on credentialing. Your insights have been incredibly valuable, and I appreciate all the effort you put into sharing this information.
Currently, I am working with a Nurse Practitioner ( DNP, PMHNP
Title: PMHNP) specializing in Psych/Mental Health, and I need to enroll her with MaineCare (Medicaid ME) and Optum. She requires both individual and group contracts.
Could you please advise whether it is necessary to credential her with Medicaid ME before proceeding with her credentialing with Optum?
Thank you in advance for your assistance.
Best regards,
Zahoor Minhas
@@zahoorullahminhas8533 hi there and thank you for your kind words. I’m so happy to hear my videos have been helpful to you. I would recommend initiating credentialing with the payers ASAP while simultaneously asking for an enrollment contract. You can always let the other insurances know the Medicaid credentialing is in process. Some may require it to be completed before they move forward with their application for their Medicaid lines of service, but at least it would be on its way to completion when that happens. Good luck and I appreciate the support!
@@navigatingthebusinessofmed8251 Thank you so much.
Hi, I need to discuss a case
We have a multi location practice, we have MD how is the partner in the business and the group have a group txt ID and NPI under his name and all the other providers are enrolled under the group and now we are planning to send claims to the insurance, Do the owner provider has to sign all the encounters or any of the rendering provider can also do that!
Hi and thank you for watching my videos! It depends on multiple factors. The biggest one is if you have an MD who is listed as the mid-levels (PAs and NPs if you have them) supervising doctor at their boards and what the state’s requirements are for them. It also can be depending on your supervising agreement with the mid-levels and the doctors internally. The insurances in your area may have their own guidelines for this too. You would need to check with each. As far as for billing, if all are individually credentialed and enrolled under the group contract as individuals then you can bill under them and they can sign their own notes for claims purposes. Good luck!