Wiki Billing for non-par provider

[LWoodson]

We have several new providers still going through credentialing process. If provider is non-par with an insurance plan and a participating provider sign off on all cases can we bill charges under the participating provider that signed off on case? Can anyone direct me to a guideline regarding this issue? Thank you,

 

[CodingKing]

If your providers are not credentialed they should not be seeing patients. You cannot bill services of one physician under another. If they are NP/PA and the incident to guidelines are met then you can bill under the supervising physician on site (who was immediately available for assistance when the patient was seen).

 

[LWoodson]

Thanks True Blue.