Comments on: New Practice Start Up Questions http://physiciancredentialingservices.com/contract-negotiation-services/new-practice-startup/ Practice Start-Up Services, Credentialing Services, & Contract Negotiations Tue, 08 Jun 2010 17:46:37 +0000 hourly 1 http://wordpress.org/?v=3.0 By: Insurance Specialist http://physiciancredentialingservices.com/contract-negotiation-services/new-practice-startup/comment-page-1/#comment-70 Insurance Specialist Wed, 14 Oct 2009 16:09:46 +0000 http://physiciancredentialingservices.com/?p=147#comment-70 The cost depends on the health plan. Typically, we credential a practice or physician with all insurance carriers (up to 25) and Medicare for one price then have a separate price scale for a la carte credentialing. We have different prices for CAQH registration, Medicare Applications and Commercial carriers. It it always best for us to understand your need then deliver to you a custom proposal based on these needs. Most of the time physicians are unaware of all that is really involved in the credentialing process until claims start getting denied. The cost depends on the health plan. Typically, we credential a practice or physician with all insurance carriers (up to 25) and Medicare for one price then have a separate price scale for a la carte credentialing. We have different prices for CAQH registration, Medicare Applications and Commercial carriers. It it always best for us to understand your need then deliver to you a custom proposal based on these needs. Most of the time physicians are unaware of all that is really involved in the credentialing process until claims start getting denied.

]]> By: Carl http://physiciancredentialingservices.com/contract-negotiation-services/new-practice-startup/comment-page-1/#comment-69 Carl Wed, 14 Oct 2009 11:39:53 +0000 http://physiciancredentialingservices.com/?p=147#comment-69 What does it cost the physician to be credentialed by a health plan; or, assuming he is credentialed by multiple healthplans, what is the cost of his doing so with each? Thank you. What does it cost the physician to be credentialed by a health plan; or, assuming he is credentialed by multiple healthplans, what is the cost of his doing so with each? Thank you.

]]> By: Andrew http://physiciancredentialingservices.com/contract-negotiation-services/new-practice-startup/comment-page-1/#comment-10 Andrew Tue, 01 Sep 2009 18:45:23 +0000 http://physiciancredentialingservices.com/?p=147#comment-10 Unfortunately, unless the doctor only plans on staying for 60 days(locum rules), you will need to credential the physician and change your practice to a group practice. You do have the option of setting her up as an independent contractor but have to be aware of fee splitting and stark regulations and how they apply to your structure. Regardless of whether the physician is an employee or an independent contractor, the physician will need to obtain a Medicare number and be set up with all commercial carriers either as an individual under her own EIN or under new group agreements with your EIN. Let me know how we can help. Unfortunately, unless the doctor only plans on staying for 60 days(locum rules), you will need to credential the physician and change your practice to a group practice. You do have the option of setting her up as an independent contractor but have to be aware of fee splitting and stark regulations and how they apply to your structure. Regardless of whether the physician is an employee or an independent contractor, the physician will need to obtain a Medicare number and be set up with all commercial carriers either as an individual under her own EIN or under new group agreements with your EIN.

Let me know how we can help.

]]> By: New Doctor http://physiciancredentialingservices.com/contract-negotiation-services/new-practice-startup/comment-page-1/#comment-9 New Doctor Tue, 01 Sep 2009 18:44:09 +0000 http://physiciancredentialingservices.com/?p=147#comment-9 I work for a solo doctor with a solo npi number. He is thinking of adding a physician and just billing services reciprocal under him. I'm not sure if we can do this or if the doctor will also have to be considered a solo doctor and we bill out under her npi and get her credentialed with the health plans. Or do we need to redo our practice as a group practice. This doctor will just be filling in two days a week? I work for a solo doctor with a solo npi number. He is thinking of adding a physician and just billing services reciprocal under him. I’m not sure if we can do this or if the doctor will also have to be considered a solo doctor and we bill out under her npi and get her credentialed with the health plans. Or do we need to redo our practice as a group practice. This doctor will just be filling in two days a week?

]]> By: vijay http://physiciancredentialingservices.com/contract-negotiation-services/new-practice-startup/comment-page-1/#comment-5 vijay Sat, 27 Jun 2009 03:11:42 +0000 http://physiciancredentialingservices.com/?p=147#comment-5 I am interested in obtaining credentialing services for a new practice startup. I am interested in obtaining credentialing services for a new practice startup.

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