tci ED Coding & Reimbursement Alert - 2019 Issue 3

Reader Question: Find out How to Handle New Physician’s Billing Info

Question:  A new physician started at our emergency department practice, but he hasn’t received his insurance credentialing yet. Can we bill for his services? SuperCoder subscriber Answer: When you can bill for a new physician’s services depends on when you’re able to get him credentialed. You’ll also need to know the differences between the payers you’ll be reporting the services to, because they do not all follow the same policies. For Medicare, you’re allowed to bill 30 days retroactively. Regardless of when the provider starts with your practice, you’ll only be...

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