Credentialing comes first even when your first claim is submitted. Unable to manage the credentialing and contracting process will lead to a loss in revenue generation. To most, credentialing is a time taking process, filled with completing applications, waiting on hold for provider relation representatives, and collecting lots of documentation. You need not bother, we will take care. Most of the healthcare companies now find a tough challenge in getting a trustworthy partner in their billing and process lifecycle, hence the challenge of sticking to the guidelines so that the TAT is reduced further and increased dependency. As a Third Party processing center, we handle some of the most challenging work assignments in the Healthcare industry vertical. We stand as a Benchmark organization for most of the companies in improving the Revenue Cycle Management Stringent healthcare policies like communicating clearly and frequently with payers help us make the difference in Revenue Cycle Management. Quality and operational excellence to improve productivity and quality Transforming outcomes by improving focus and visibility on RCM we drive our business solutions from Employees, Physicians, Providers, & Insurance companies.
So you’re a new provider, and you’re ready to see your first patient. Not so fast! If you are planning to accept insurance, you must credential with most insurance companies to receive reimbursement. We will help you credentialing and contract with the insurance companies of your choice. Starting a New Practice maybe you were credentialed and contracted with your previous company. So many providers assume the credentialing and contracts will follow them to their new practice. This simply is not true. When a provider changes Tax-ID, often time’s new contracts will need to be obtained. If you change states, the credentialing must start from the beginning in the new state, if for national insurance companies. We can help get you credentialed and obtain new contracts under the new tax-id or your social security number.
Your practice is growing, and you need to add providers. Some insurance companies will require group contracts for practices with more than one provider. Each provider will need to be credentialed and either added to the group contract or have an individual contact that will pay to the practice tax-id. We can help make sure each provider has completed the necessary application and contracts to ensure your practice is paid for services rendered.
At some point, your practice may decide to accept new insurance payers. This will require establishing contracts with the new insurance company. We can help you establish contracts and review the fee schedule for the new insurance company.