"Should you get credentialed as a group practice or as a solo practitioner? The answer affects how you get paid, how fast you can add providers, and even what rates you can negotiate. In Episode 9 of the MediBillMD Podcast, Sarah and credentialing specialist Ryan compare group vs. solo credentialing: how each one works, the pros and cons, and how to choose the right path for your practice.
📖 Read the full guide: https://medibillmd.com/blog/credentialing-as-a-group-vs-solo-practitioner/
In this episode, you'll learn:
✅ How group practice credentialing works (the hub-and-spoke model)
✅ Type 1 vs. Type 2 NPI: who did the work vs. who gets paid
✅ Group credentialing pros: scalability, negotiating power, centralized billing
✅ The catch: how one provider's lapsed paperwork can delay the whole group
✅ Solo credentialing pros: portability, control, and faster setup
✅ Why a new hire can't bill under a solo provider's credentials
✅ How to choose between group and solo credentialing
⏱️ Chapters
0:00 Intro
0:23 Why the group vs. solo decision matters
0:46 How group credentialing works (Type 1 vs. Type 2 NPI)
1:39 Group credentialing pros and cons
2:20 Solo practitioner credentialing pros and cons
3:15 Key differences
3:34 Which one should you choose?
3:49 How MediBillMD can help
📋 Group vs. solo at a glance:
- NPI: Solo uses a Type 1 NPI. Groups use Type 2 (billing) plus Type 1 for each rendering provider.
- Initial setup: Solo typically 90–120 days. First group contract typically 120–150 days.
- Adding a provider: Solo hires start from scratch. Groups typically link new providers in 30–60 days.
- Payments: Solo is paid to the individual. Groups are paid to the group's tax ID.
- Portability: Solo credentials follow the provider. Group status is tied to the group's contract.
- Re-credentialing: typically every 2–3 years.
Group or solo, we'll get you credentialed. MediBillMD's credentialing team handles applications, payer follow-ups, and re-credentialing for group practices and solo providers alike, so you can focus on your patients.
📞 Call: (877) 353-9542
🌐 Website: https://medibillmd.com
✉️ Email: info@medibillmd.com
🔗 Credentialing services: https://medibillmd.com/services/medical-credentialing-services
📅 Book a free consultation: https://medibillmd.com/appointment
#ProviderCredentialing #GroupCredentialing #InsuranceCredentialing #MedicalPractice #MediBillMD"
