The building blocks
- NPIs: an individual NPI for each CRNA and a group NPI for the practice
- Medicare enrollment: the group and each CRNA, usually through CMS's online enrollment system
- Reassignment: each CRNA reassigns Medicare benefits to the group so payments go to the group's account
- Medicaid: enrollment with your state program and any managed care plans
- Commercial plans: credentialing and contracting with each insurer you expect to see
- Electronic payments: EFT and electronic remittance set up in the group's name
Timing
Medicare is often the quickest; commercial credentialing commonly takes longer. Start applications as soon as the group exists, and track every one.
Keeping it current
Revalidation, address changes, new CRNAs joining and licence renewals all need updates. Lapses cause denials that are hard to recover.
This article is general information, not billing, legal or tax advice. Payer rules change; always check current guidance.
Sources
Free checklist
CRNA Credentialing and Enrollment Checklist
The documents and steps you need to get a CRNA enrolled with payers and billing under your group.
Download free