tci Part B Insider - 2008 Issue 37

Reader Question: Hold Claims When Waiting for Physician's Credentials to Come Through

Remember: Medicare credentialing can take 90 days -- or longer -- so apply quickly when a new physician comes on board.Question: Our practice is expanding, and we will soon have two new physicians starting who are not yet credentialed with any of our participating Medicare contractors. Can we let these physicians see patients and then bill for those services? And if so, how should we submit the claims for these doctors?Answer: The answer depends on the contractor.Medicare will allow you to hold your physicians' claims from the date they apply for their Medicare provider numbers and...

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