Today's an exciting day for the Healthy Bytes blog because we'll finally be diving into the details of getting setup to take insurance. Over the last few weeks, we covered the high-level details of how to get a nutrition private practice started, which we recommend checking out if you haven't already.
There are two main parts to getting setup with insurance:
1) credentialing and
Step 0: Before you begin
Before you can effectively begin your insurance journey, you'll need to make sure you have the following:
If that list looks familiar and you're set with that information, you're ready to continue.
Step 1: Credentialing
This is a process where insurance companies check to make sure that- "yep, you're a RDN in good standing". Lucky for us, there is now one unified system to help with this process- the CAQH. To get started, register with CAQH.
What information will I be asked? The CAQH is a form which essentially covers the content of your resume. It will ask for information about the following topics:
- Basic personal information
- Demographic info
- License number
- Education and Training
- Graduate school
- Fellowships and preceptorships
- Teaching appointments
- Specialties and Certifications
- Practice Details
- Address and contact information
- Billing, office manager and credentialing contact
- Services, certifications, limitations and hours of operation
- Partners and covering colleagues
- Hospital Affiliation Information (if applicable)
- Liability Insurance Information
- Work History and References
- Disclosure and malpractice history
Keep in mind that not every question will apply to you and your practice. Some of the questions will be geared toward much larger institutions, like a large physician practice with lots of staff.
Once you get the CAQH completed a large part of the contracting work is done. We will go over the next step, contracting, in a future post.