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Credentialing Corner
Credentialing Applications: Policy Change Effective November 1, 2019
IPN often receives Credentialing Applications that are missing required information or documentation and spends up to 30 days trying to help providers meet those requirements. To improve the efficiency of our processes, beginning November 1, 2019, IPN will make two attempts over 15 days to obtain the missing materials. If not received, the Credentialing Application will be withdrawn from processing.
Providers wishing to participate with IPN must re-apply and may be required to pay an additional credentialing fee.
Providers and their representatives are responsible for ensuring Credentialing Applications are complete to improve processing time for provider reimbursements and member access.
Physician Assistant Supervising Physician Requirements
A recent miscommunication from the Idaho Board of Medicine (BOM) indicated supervising physicians are required to review 10% of their physician assistant's charts. The IMA clarified in the October 2019 IMA Wire, the BOM recommends the supervising physician review 10% of the physician assistant's charts.
It is a BOM requirement that Physician Assistants have a supervising physician. At IPN, a physician assistant may be approved for participation only if the supervising physician is also an IPN participating physician.
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