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NP Practice Owners

How to Get Credentialed

Published January 21, 2009 7:42 AM by Aaron Hartle

If you plan on opening an independent practice, one of the most important things on your "to-do list" if you plan on billing insurance is to get credentialed. This is a long and arduous process taking from around 60 days to several months depending on the insurance company.

The sooner you can get started, the better off you will be. I'll walk you through what you'll need to become credentialed and how to get started.

What you need:

1. A business address: As soon as you have one, start the credentialing process, even if you will not be starting your practice right away.

2. Tax ID #: These are easily obtained from your local government web site.

3. NPI #: apply online at https://nppes.cms.hhs.gov/NPPES/StaticForward.do?forward=static.npistart

4. State license, DEA number, business license

5. CLIA waived certificate: If you plan on drawing labs or doing in-office tests. For information go to: www.cms.hhs.gov/CLIA/downloads/HowObtainCertificateofWaiver.pdf

6. Professional liability insurance: Generally $1 million / $3 million is required.

7. Education history, transcripts, and professional memberships and certifications.

8. Three or four good professional reference.

9. Go online to http://www.caqh.com/ to register to be credentialed with several different companies.

10. Call the credentialing departments of the rest of the insurance companies you wish to bill and get started. You can find the numbers on each of the insurance companies web sites.

Be patient, remember the processes takes weeks to months. As soon as a company sends you an application or contract, quickly fill it out and send it back. If you don't hear from insurance companies for awhile, call the credentialing office or provider relations number and follow up.

Good Luck!

7 comments

I am also in the process of writing a business plan for an independent practice.....for a mobile clinic. Does anyone have a example of one they have written...........you can just send the rough draft...leaving out your company info and corporate stuff......Thanks so much

Thelma, Family Practice - Nurse Practitioner February 17, 2009 11:17 AM

Well, I am not sure of a form that will let you credential with all three states.  You may be able to credential with one, then add your other locations later.  I am opening a second clinic, so all I have to do is add the new address, but I am not sure about different states.

Aaron

Aaron Hartle February 16, 2009 4:21 PM

Aaron,

I am looking to credential my company with Medicare in 3 states New Jersey, Pennsylvania and Delaware and I want to do all 3 at the same time. Is there an application that allows me to apply to all 3 states on one application form?

Thanks,

kay.

Kay , Healthcare - Clinical Serv. Mgr. February 6, 2009 2:40 PM
Philadelphia PA

Great step by step.  I would add that you may need to check on your malpractice insurance requirements.  Our collaborative physicians need to have the same level of coverage as we do.  If you do not need a collaborative doc then it doesnt matter.

Gretchen Moen January 26, 2009 12:24 PM

Aaron,

Excellent step-by-step on what to do. I would add, start with Medicare as that takes the longest it seems.  Also, if NPs are in states where collaboration is a fact of life, you will need to have this in place as well.  

Some states will also have a statewide credentialing form that can be used with all your local insurers. It will have you lots of time to keep a copy and print it out every time to need it. You'll then only need to sign and send.

Good luck to everyone starting on this journey.

Barbara Phillips, NP January 25, 2009 4:56 PM
www.NPBusiness.ORG

I am in the process of writing a business plan for an independent practice. Does anyone have a example of one they have written. Thanks

Karen Huddlestun, Family Practice - Family Nurse Practitioner, Dynamic Family Medicine January 21, 2009 7:32 PM
Casey IL

Great post Aaron!  That is so true, "That wait for credentialing"!  That will be helpful to readers who are just starting.

Joseph Marra, Family Health - Owner, Urgent Care Center January 21, 2009 12:55 PM
Altoona, Philipsburg PA

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