Our Provider Support services cover payer contracting and provider credentialing, contract negotiation, and audit support.
For most practitioners and providers, credentialing is an essential part of joining a practice or a hospital’s medical staff and a part of becoming enrolled with insurance companies as an in-network provider. When credentialing is done poorly, portions of your revenue cycle management will be affected resulting in a loss of revenue.
You must keep in mind that all payers, healthcare organizations, and states have specific requirements for physician credentialing and enrollment. Although requirements and timelines differ from payer to payer, there are best practices that can be applied regardless of the administrative regulatory landscape