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Earning Hospital Privileges: The First Step in Medical Credentialing
For a physician to practice at a hospital, he or she must be granted privileges. To receive these privileges, the physician’s credentials are reviewed and verified by the hospital. When this process completes successfully, the physician can treat admitted patients, perform medical procedures and use the facility for patient care. The physician then submits claims to the insurer for providing patient services in the hospital.
Hospital privileges are a prerequisite for health plan credent
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Billing Incident to Services-Whose Number Should Be Used?
Should You Bill Incident to Services for a Medicare Patient Under The Number of the “Supervising Physician” or the “Ordering Physician”?
This issue was first clarified in the preamble of the 11/1/01 Federal Register (available here on p. 23 of the file, p. 55267 of the document):
Comment: Several commenters requested that we clarify and distinguish between the physician (or other practitioner) ordering the incident to service and the physician (or
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Anesthesia Billing for CRNAs
A timely topic if ever there was one! This issue continues to be a source of confusion to physician offices, billers, hospitals, and insurance companies, too. A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse who is an anesthesia specialist and may administer anesthesia independently or under physician “medical direction” or “supervision.” CRNAs have been practicing in the United States since the civil war, and were the first nur
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