Comments on: Nurse Practitioner & Physician Assistant Credentialing Services http://physiciancredentialingservices.com/physician-credentialing-service/nurse-practitioner-physician-assistant-credentialing-services/ Practice Start-Up Services, Credentialing Services, & Contract Negotiations Wed, 01 Feb 2012 21:33:09 +0000 hourly 1 By: admin http://physiciancredentialingservices.com/physician-credentialing-service/nurse-practitioner-physician-assistant-credentialing-services/comment-page-1/#comment-26 admin Fri, 31 Jul 2009 16:12:32 +0000 http://physiciancredentialingservices.com/?p=149#comment-26 Most insurers will not credential you as an individual provider but usually credential you under a supervising physician. When are you considering going out on your own? You could always join a practice and work off of your own productivity as an independent contractor. You would have your own malpractice but would need to bill incident-to your supervising physician to receive maximum reimbursement. We can credential you with Medicare which will allow you to see Medicare patients outside of “direct” supervision but you will only be reimbursed at 85% of Medicare. Medicare still requires you to practice under a supervising physician's license but does not require “direct” supervision if you have your own number. You can run into problems with Medicare when billing for New Patients or Established Patients with New problems when seeing patients outside of direct supervision but this largely depends on state regs. You also may have problems billing for consults seen in the hospital as there are limits to what you can bill for in this scenario. Indirect and Direct supervision are the two ways NPs and PAs are supervised. If you would like to speak with someone we can discuss in more detail what would be required for you to go out on your own. Although state regulations vary, PAs are usually registered to practice after three to four years of training; advanced nurse practitioners go through at least four years of training and usually six or more. While physician assistants work independently in some settings, they’re always under a doctor’s supervision to some extent. Thirteen states let NPs diagnose, treat and prescribe without a supervising doctor, but most, including Indiana, still require physician oversight. Most insurers will not credential you as an individual provider but usually credential you under a supervising physician. When are you considering going out on your own? You could always join a practice and work off of your own productivity as an independent contractor. You would have your own malpractice but would need to bill incident-to your supervising physician to receive maximum reimbursement. We can credential you with Medicare which will allow you to see Medicare patients outside of “direct” supervision but you will only be reimbursed at 85% of Medicare. Medicare still requires you to practice under a supervising physician’s license but does not require “direct” supervision if you have your own number. You can run into problems with Medicare when billing for New Patients or Established Patients with New problems when seeing patients outside of direct supervision but this largely depends on state regs. You also may have problems billing for consults seen in the hospital as there are limits to what you can bill for in this scenario. Indirect and Direct supervision are the two ways NPs and PAs are supervised. If you would like to speak with someone we can discuss in more detail what would be required for you to go out on your own.

Although state regulations vary, PAs are usually registered to practice after three to four years of training; advanced nurse practitioners go through at least four years of training and usually six or more. While physician assistants work independently in some settings, they’re always under a doctor’s supervision to some extent. Thirteen states let NPs diagnose, treat and prescribe without a supervising doctor, but most, including Indiana, still require physician oversight.

]]> By: Jason Owens http://physiciancredentialingservices.com/physician-credentialing-service/nurse-practitioner-physician-assistant-credentialing-services/comment-page-1/#comment-25 Jason Owens Fri, 31 Jul 2009 16:06:57 +0000 http://physiciancredentialingservices.com/?p=149#comment-25 I am a board certified PA in IN. I have been in a self-insured environment in occ med for a employer for about 12 yrs so there was never a need to be credentialed with pvt payers. I am now looking at possibly opening a clinic or working for a Physician so I will need to get credentialed. I do have a NPI# What do you charge for me to get credentialed w private insur. comp.s and medicare in TN and what is all involved? Thank you, I am a board certified PA in IN. I have been in a self-insured environment in occ med for a employer for about 12 yrs so there was never a need to be credentialed with pvt payers. I am now looking at possibly opening a clinic or working for a Physician so I will need to get credentialed. I do have a NPI#
What do you charge for me to get credentialed w private insur. comp.s and medicare in TN and what is all involved?
Thank you,

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