Credentialing question
We have a provider coming on board with uncertainty as to his start date, due to data found on his background check. However, I have all of the credentialing information needed to begin his applications.
If I select a start date at random (right now he is working as a locums through a certain date), say, November 1, and submit that on the 855R, is there any ramification if that does not end up being his actual start date? In other words, will they verify in some manner?
Renée McGowan
Credentialing Specialist
Renee McGowan
Credentialing Specialist
30 Burton Hills Blvd.
Suite 175
Nashville, TN 37215
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If I select a start date at random (right now he is working as a locums through a certain date), say, November 1, and submit that on the 855R, is there any ramification if that does not end up being his actual start date? In other words, will they verify in some manner?
Renée McGowan
Credentialing Specialist
Renee McGowan
Credentialing Specialist
30 Burton Hills Blvd.
Suite 175
Nashville, TN 37215
P:
Click here to visit our website.
CONFIDENTIALITY NOTE: This e-mail and any attachments may contain confidential information. If you are not the intended recipient, be aware that any disclosure, copying, distribution or use of confidential information is prohibited. If you have received this e-mail in error, please notify the sender immediately by returning the e-mail to the sender and delete this copy from your system. Thank you for your cooperation.
Comments
In other words, you can have a start date - and from that point forward, he/she can see patients and submit and be paid to the group.
I'm sure there have been many times a provider thought they could start on a certain date and it was later. If he/she is locum, claims aren't going under their name to the plan anyway, so I don't see a problem with that.
I always ask for a copy of the signed employment agreement, so I have something to fall back on to prove the start date, rather than 'because I was told.'
Karen A. Hurley, BS, CMM, CPC, CNA
President, HPMSI
PO Box 409
Parrish, FL 34219
Tel: (941) 776-4822
Fax: (240) 368-0059
Web: www.hpmsi.com
Since 1996, Celebrating 20 years of Service to Physicians
effective date that you request and do not backdate. I would just give the
provider the earliest date that you believe he/she will start.
I just brought on a Nurse Practitioner with a clean profile who had already
been credentialed through UHC, we were just working on the contracting. It
took, literally, 6 1/2 months to finally get her finalized. She started
with us on June 1st and will be able to see UHC patients on September 19th.
I started working on her contracting/credentialing in March.
Charlene Endre-Burgett, MS-HCM, CMA (AAMA), CPC, CMCS, CHM, CPOM
Chief Operating Officer
North Scottsdale Family Medicine
LinkedIn: www.linkedin.com/in/charleneburgett