STEPS TO TAKE WHEN ADDING A NEW PROVIDER

DELCO CHAPTER PĀHCOM

STEPS TO TAKE WHEN ADDING A NEW PROVIDER

· Start months ahead

· Obtain copies of the new provider’s CV and licenses

· Apply for NPI, Medicare and Medicaid provider ID (practices are reporting a six month wait on this process)

· Hospital privileges and credentialing

· Apply (shop for) liability insurance (malpractice)

· Consider registering the new provider with CAQH ( an insurance payor will need to sponsor you – Aetna and United are good sources for this)

· All other insurance company credentialing. Find out if the payors accepts CAQH or the PA Standard Application .

· Notify your worker’s compensation provider that you have a new provider as well as all other insurance policies that may need to be updated.

· Marketing suggestions – announcements to referring providers, the public, your patient population

· Arrange for signage

· Contact the Delaware County Medical Society for help. The PA Medical Society also has resources, which includes a credentialing checklist..

· Order all necessary printed materials (e.g. letterhead, scripts, appointment cards, etc)

· Build patient schedules

· Host a “welcome” meeting to introduce the new doctor to the staff.

· Be sure to educate new provider on billing practices for the office.

· Obtain a current CME history if the office will be following.