Saturday, October 5, 2013

Credentialing process!

I am now the owner of a PA license, an NPI number, a DEA license number, and just recently took the "controlled substances class" which will allow me to prescribe scheduled drugs without prior approval from my supervising physician.

I've accepted a position in family practice, working for my previous boss, and it's going to be a beautiful relationship!  

Now, the hold up seems to be the "credentialing process" that no one ever warned me about!  This is the process, after you are hired, of sending all your information to insurance companies.  They, in turn, agree to reimburse you for seeing patients.  Without this approval, you really don't want to be seeing patients, else you might not get paid for them at all!  My work understands this, but wants me to have the chance to get "back in the groove" with the EMR and workflow, so they are allowing  me to come in part time and refill prescriptions, answer phone notes, review lab results.... mostly paperwork.  In addition, last week we started with me going in to see patients, getting a history, physical, coming up with a plan, etc, then communicating this info with the doctor, who in turn goes in to see the patient for an abbreviated visit and confirms these things, so he can bill it under his name rather than me signing the note.  I thought this would take a lot of time with both of us seeing the patients, but it really doesn't, as he is free to go work on his paperwork while I see the patient, and his time with the patient is abbreviated from normal since he doesn't have to get the whole history, etc.  Hopefully this will work until the "credentialing" process is done.