board certification or board eligibility

[DRZIVAR]

Is board certification or board eligibility necessary to for private insurances? I am trying to get a job at a general practice clinic and while asking some clinicians one told me that in order to be certified and bill private insurances and HMOs a clinician has to be board certified or atleast board eligible? I know hospital privileges are different and certification is needed but I am not sure of this matter? Does anyone know anything or can I check somehow? I am in Georgia.

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[VA Hopeful Dr]

Is board certification or board eligibility necessary to for private insurances? I am trying to get a job at a general practice clinic and while asking some clinicians one told me that in order to be certified and bill private insurances and HMOs a clinician has to be board certified or atleast board eligible? I know hospital privileges are different and certification is needed but I am not sure of this matter? Does anyone know anything or can I check somehow? I am in Georgia.

Generally speaking, most insurances require board certification. Only way to be 100% sure is to ask them.

That being said, in today's world its generally a pretty bad idea to not be board certified. I am not participating in any insurance (including Medicare), but I'm maintaining board certification.

 

[DRZIVAR]

Thank you greatly for your response. So what are you doing right now? Are you practicing?

 

[VA Hopeful Dr]

Thank you greatly for your response. So what are you doing right now? Are you practicing?

Cash-only practice

 

[DRZIVAR]

How long have you been in practice and how hard is it for someone to start with that rather than with conventional insurances? May I ask what you do ?

 

[VA Hopeful Dr]

How long have you been in practice and how hard is it for someone to start with that rather than with conventional insurances? May I ask what you do ?

Right at a year, start up wouldn't be too bad if you don't have a huge loan burden - if you do it becomes trickier since you likely won't make much money at first.

I do this (note: not my website but I'm doing the exact same thing): https://atlas.md/dpc-curriculum/

 

[styphon]

Is board certification or board eligibility necessary to for private insurances? I am trying to get a job at a general practice clinic and while asking some clinicians one told me that in order to be certified and bill private insurances and HMOs a clinician has to be board certified or atleast board eligible? I know hospital privileges are different and certification is needed but I am not sure of this matter? Does anyone know anything or can I check somehow? I am in Georgia.

In NY, I had our billing ladies ask the insurance companies about BE/BC. Everyone of them required board CERTIFICATION, the fact that I was board eligible did not matter. This also included medicaid along with the private insurances.

I also can not do Workers Comp/No fault exams without being board certified.