Thanks to VCNP’s 2019 legislative efforts, NPs can bill under their own National Provider Identifier (NPI) and are an important component of tracking NP productivity and other metrics that do not occur with incident to billing. Direct billing also allows NPs to demonstrate clinical and financial outcomes, supports NPs with autonomous practice licensure who are no longer able to bill in conjunction with collaborative agreements, and allows NPs to be included in commercial provider directories as independent providers.
Because VCNP recognizes that the credentialing process can be time-consuming and create delays in reimbursement if the process is not completed correctlY, we partnered with Centralized Credentials Verification Service (CCVS) to offer credentialing services for members. CCVS is no longer accepting applications and VCNP is seeking an alternate service. We will update this resource page once confirmed.
* VCNP provides service resources as a member benefit. This should not be considered an endorsement of one credentialing service over another. We encourage you to utilize the service that best meets your credentialing needs.
Frequently Asked Questions
What is the cost for this service? VCNP members will be updated about the cost once the new provider is confirmed.
Does this service include credentialing with Medicaid and Medicare as well as commercial insurance carriers? Yes, this service includes credentialing in commercial payor/health plan plans, Medicare, Medicaid and CAQH.
What information do I need to provide to use this service? You will receive a complete checklist of required documentation from the service provider. Some of the items NPs should be prepared to provide include copies of federal, state and local licenses, board certifications and/or company registrations, DEA registration, malpractice certificates, list of providers requiring credentialing, and current CV.
Will the credentialing process be different if an NP has achieved autonomous practice licensure? The credentialing process will be the same regardless of whether an NP has received autonomous practice licensure. In fact, the legislation does not require autonomous practice licensure for NPs to be credentialed as independent providers.