Enrollment: Review 3 FAQs to Ensure You Know When a New Provider Should Start Seeing Patients

Why This Topic Matters

Credentialing delays can affect when services may be billed, whether claims are payable, and whether a practice faces avoidable denials or compliance problems. Understanding the general enrollment process helps practices plan provider start dates and billing workflows more effectively.

Article Sections

1. Can We Bill Retroactively?

   This section discusses retroactive billing timing, differences between Medicare and private payer policies, and the importance of application timing in the enrollment process.

2. Can We Just Use Another Provider’s NPI?

   This section addresses billing under another provider’s identifier while credentialing is pending and discusses temporary coverage concepts referenced by the article.

3. What is the Best Way to Ensure We Get Paid?

   This section focuses on planning ahead for credentialing, starting enrollment early, and coordinating provider start dates with payer approval timelines.