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It is board certified/eligible that is the requirement. Generally have 3 years after residency to get certified or you are no longer eligible. If you are no longer eligible to be boarded, you probably won't be getting paid.
I really don’t think that’s true. I work with a cardiac surgeon who is not board certified. Judging by his house and cars, he has no problem getting paid. I’m an NBE advanced testamur but I’m not board certified in echo and I have never had a problem getting paid for echo interpretation. In fact the director of our echo lab is a board certified cardiologist who does not have echo boards. I don’t think he has any problem getting paid for the thousands of echos he reads every year either. We’ve had partners who had problems getting their anesthesia boards too. They eventually did but it never affected their ability to bill and collect.