We’re thrilled for you – you’ve decided to bring on a new RDN or CNS! Your private practice is growing by leaps and bounds. Earlier, we covered considerations for making a new hire, plus legal and tax implications to review. Today we’d like to address how Healthy Bytes can help you ease your new RDN into insurance and billing.
HIPAA regulations dictate that, as a health care provider working with health insurance companies, you need a National Provider Identifier (NPI) number. These 10-digit numbers are a way for the healthcare sector to identify health professionals. There are two kinds of NPIs: individual and group. An individual NPI (type I) is associated with one’s social security number. A group NPI (type II) is associated with a business entity - in this case, your practice's tax ID number. When you hire a new RDN, he or she should get an individual NPI if they don't already have one, or they can use your group NPI. Either way, Healthy Bytes can help with the NPI generation process.
Credentialing and Contracting
If your new hire is a newly-minted RDN, Healthy Bytes can help with the credentialing and contracting process. As a business owner, it is important to know your new hire's pre-existing status with insurance insurance companies and how he or she is planning to proceed. Be sure to discuss with your new hire whether he/she wants to remain contracted under a prior tax ID (if he/she is already contracted), or whether he/she prefers to terminate them and solely be contracted under your tax ID. You might consider establishing ground rules via your non-compete, too, noting that your new hire will not maintain prior contracts. Depending on past and intended future status of any and all contracts, you’ll need to communicate all updates to payers.
Your new hire may already be credentialed and contracted with the same insurance companies as you. If this is the case, you can link your new hire to your employer tax ID number to have them remain in-network. If he or she isn't already credentialed or contracted with an insurance company, you’ll need to contact the insurance company to initiate that process. Again, it depends on your preference and if you’re unsure of which approach to take, we are happy to discuss this further with you. These example scenarios underscore that credentialing and contracting are time-consuming - and confusing - processes! Fortunately, Healthy Bytes knows the ins and outs of every possible permutation and we can be the experts in getting the job done for you!
Oftentimes, when you add a new RDN to your practice, bringing you up from one to two dietitians under your tax ID, the insurance company will update your contract from a single participating provider agreement to a group agreement. This way, the reimbursements for all claims filed under your business tax ID will then be paid to the remittance address associated with your business.
What questions do you have about adding an RDN to your practice? We’re here to help!