Provider credentialing is the foundation for all provider reimbursements. Delays or difficulties in the enrollment process can start a domino effect of problems throughout your revenue cycle. It is extremely important to make sure your practice — and all of your providers — are credentialed properly to secure your financial footing and set your organization up for success.
Why is this so complicated?
If you have been involved in the credentialing process in recent years, then you probably already know what a time-consuming and frustrating task it can be -- so much so, in fact, that provider enrollment has evolved into its own specialized field.
Because each insurance carrier/payer has its own specific set of criteria, the sheer volume of documentation requests alone can be overwhelming for many. Even simple things, like leaving a date off a signature page, can grind the entire process to a halt.
Here are just a few of the most common challenges that cause major pain points for practices of all kinds:
- Missing support documentation and incomplete enrollment applications
- Lapses in or non-compliant management of recredentialing
- Outdated or incorrect information about a practitioner’s licensure status, facility privileges and training records
With so many different processes, insurance carriers and provider types to manage, it’s no wonder practices often find themselves struggling and stressing over aging receivables while waiting for credentialing approval.
Skip the headache
In an effort to help all providers maximize their reimbursements, whether they utilize our billing services or not, we offer standalone enrollment and credentialing services to individual providers, as well as groups.
Don’t get frustrated. Get some backup.