tci Medicare Compliance & Reimbursement - 2024 Issue Q2

Reader Question: Understand These NPI Basics For New Providers

Question: Our practice just hired a new provider. They have their medical license, but they’re waiting for their National Provider Identifier (NPI) to be able to bill Medicare for services rendered. We heard they can just bill under another physician’s number or bill as a locum. Is that OK? South Dakota Subscriber Answer: It may be tempting to bill services under another provider while you’re waiting for the new physician’s credentialing to come in — but don’t do it. You should not use another credentialed practicioner’s NPI on the new provider’s claims...

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