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Can a Non-Credentialed Provider Bill Under Another Provider

Physician Credentialing Company

However, the question arises whether there is any condition in which a non-credentialed provider can be billed independently or under a supervising provider in medical billing. There are a lot of federal and payer-specific policies about billing non-credentialing providers.

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Credentialing in Healthcare: Essential Processes and Best Practices

Physician Credentialing Company

By validating staff competence, it reduces the likelihood of malpractice claims and legal issues. For example, when a doctor claims to have graduated from a certain medical school, the credentialing team contacts that school directly to confirm. It also involves checking for any disciplinary actions or malpractice history.