Contracting

National Provider Identifier (NPI) Numbers, Revisited

National Provider Identifier (NPI) Numbers, Revisited

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 consistently and they are publicly searchable.

There are actually two types of NPIs, logically referred to as “Type I” and, yes, “Type II”. Type I NPIs are also sometimes called individual or personal NPIs, while Type II NPIs can be referred to as either organizational or group NPIs.

I’m Not a U.S. Citizen – Can I Get Credentialed and Contracted?

I’m Not a U.S. Citizen – Can I Get Credentialed and Contracted?

The team here at Healthy Bytes is sometimes asked whether, as a non-U.S. citizen, the process of undergoing credentialing and contracting with health insurance companies would be different than undertaking it as a U.S. citizen. While this question may not apply to many of you, there are students and entrepreneurs who hold U.S. visas that allow them temporary residency but not citizenship. How does this impact their ability to accept insurance? 

Can I See a Patient At A Coffee Shop?

Can I See a Patient At A Coffee Shop?

Think about where you conduct the majority of your nutrition counseling visits – are they at your office, an MD’s office, or perhaps your home office? Do you conduct home visits or see clients via telehealth sessions? 

Did you know there are approximately 100 different location codes for use when filing claims?

Forms of Reimbursement – Electronic Vs. Paper

Forms of Reimbursement – Electronic Vs. Paper

Many insurance companies are moving away from paper checks and toward electronic reimbursement. A provider typically has to have access to a payer’s online portal in order to successfully manage the claims filing process. We learned that many of you still opt for paper checks for a variety of reasons. Which do you prefer? 

HMO, PPO? Am I In-Network?

HMO, PPO? Am I In-Network?

A dietitian recently asked us why she might be covered for nutritional counseling under a health insurance plan’s HMO (health maintenance organization) and not a particular PPO (preferred provider organization) – or vice versa. “How am I supposed to find out which plans I’m covered for under each insurance company’s offerings?”