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Provider enrollment and credentialing are the backbones of every healthcare practice. To sustain a constant supply of referrals as a provider, you must be enrolled with commercial and government insurance companies or funders. and accounts receivables.
Credentialing is the complex process by which a provider’s background, education, identity, residency, licensing, and other criteria are verified. Provider enrollment is the process of requesting enrollment with commercial payors, Medicare, and/or Medicaid.
Are you establishing a new practice? Are you affiliating with or joining a new group of practitioners? Do you want to enroll with new payors? Is a new physician joining your practice?
Well, these are instances of why you may need regular provider enrollment and credentialing services. It can prove beneficial to outsource such services to a medical billing company to ensure they are done in time and updated.
When the process is already lengthy, every error can increase the timeline and delay much needed enrollment. Even simple mistakes in information such as practice address or failure to sign the forms can cause significant delays and major mistakes can be grounds for denial.
It is advisable to start the credentialing and enrollment process at least 90 days prior to opening of a new practice. Even if you’re joining an existing practise, you must start the procedure well ahead of time. for ensuring accuracy and regular follow ups.
Credentialing process is not only lengthy but can take months to process for many practices. Ensure regular contact with the payors and stay up to date on application status to shorten the wait time.
As professionals who manage medical and dental revenue cycle management every day, we understand how time-consuming, complex, and annoying the processes for provider enrollment and credentialing are. Especially if you are working as a team of physicians, it is required to submit and monitor multiple applications and handle the overwhelming paperwork on time with accuracy.
At Astron EHS, we have the expertise to handle each of these tasks for you so you may focus on more important areas of your practice.
Get in touch with us!