Completeness | Accuracy | Cash Flow
Our Members have significant administrative burdens without the added challenge of credentialing. And while the federal government hasn't gotten around to this process yet, it remains an important activity left to the states and other jurisdictions. One of our goals is to protect and promote the financial stability of our members. Left undone or done incorrectly, a practice's cash flow could be adversely impacted. Allow us to reduce your administrative burden and handle your physician's credentialing.
Time Frame Expectations ...
On average, credentialing can be done in about 90 days, but to avoid surpises you should plan for extra time. Payers are merging and supersizing. As a result, their processing times are periodically affected. Each payer has their own requirements, timelines, and processes, so let us navigate this for you.
We have delegated credentialing with the major plans available in our area. This allows us to verify your information and begin your enrollment into their plans with a single credentialing process. Most payers accept our credentialing date as their enrollment date for participation.
Accuracy is Critical ...
Industry experts estimate that the rate of applications missing critical information is as high as 85%. Similar to an IRS audit trigger, missing, incomplete, or outdated information will not only slow the process but may cause a more in-depth review of the entire application. Let us assist in making sure your credentialing documents are complete, accurate, and up-to-date prior to submission. We have extensive experience in this area so take advantage of this significant membership benefit. Our delegated credentialing status means that your information is accepted and you will not have the challenges of a credentialing audit.
OSHA, HIPAA ... and the alphabet soup
Pressure is being placed on private practices to remain compliant by numerous state and federal agencies. We bring the resources to bear to make sure our Members have ample opportunities to meet the compliance requirements. And we work hard to provide these opportunities such that interference with the practice's typical workday is minimized.
