Billing under a group practice requires careful steps to ensure compliance and maximize reimbursements. Start by obtaining a Group NPI and linking each provider’s individual NPI to the group. Enroll your group with payers like Medicare, Medicaid, and private insurers to ensure recognition.
When submitting claims, use the Group NPI as the billing provider and include the rendering provider’s NPI in the appropriate field. Follow payer-specific rules to avoid claim denials and use modifiers like -QK or -TQ when required.
Maintain an updated roster of all providers, including their NPIs and credentials, to streamline billing and credentialing. Track reimbursements to ensure both the group and individual providers are paid correctly.
By following these steps, practice managers, healthcare providers, and owners can optimize group practice billing, stay compliant, and maximize revenue.