At 1ˢᵗ Credentialing we know that when our clients place their trust in us, we take that responsibility seriously by communicating with our clients to create a transparent and collaborative partnership.
Healthcare organizations of every size realize that hiring 1ˢᵗ Credentialing is the most economical and efficient way to solve their credentialing needs. We have the training, expertise and commitment it takes to keep a complex process moving forward at all times.
1ˢᵗ Credentialing supports healthcare practices of all sizes - from health systems, to community hospitals, to large group practices, to smaller organizations. We help get your providers up and practicing as fast as possible.
Learning more about the credentialing process benefits us and our clients. 1ˢᵗ Credentialing offers regular videos and newsletter updates to bring our clients and those interested in innovations in credentialing up to speed.
Important Update for Missouri Ordering, Prescribing and Referring Providers
If you are an ordering, prescribing or referring provider in Missouri, you must enroll with Medicaid even if you do not accept Medicaid. This is required under state and federal regulations.
To conform to these requirements, MO HealthNet is changing its claims processing system. Soon the system will deny all claims that require an order, prescription or referral from a doctor or other licensed health care professional unless that provider has an active enrollment record on file.
If you are not an actively enrolled provider, you will begin to see an alert when receiving remittances for durable medical equipment, imaging medical claims, independent laboratory medical claims and home health claims. The alert will notify you that the remittance has been paid, but the ordering provider for this bill must update their enrollment record.
If you receive this alert in a remittance, first verify that the ordering provider information that you submitted on the claim is correct. If it is, you should contact the ordering provider and request that they update their enrollment record.
Claims Will Be Denied Beginning November, 2017 Without MO HealthNet Enrollment
For now, claims will continue to be paid even if the ordering, prescribing or referring provider is not enrolled with Medicaid. However, that will not be the case later this year.
Beginning in November, 2017, claims will be denied if the ordering, prescribing or referring provider information is missing or if not enrolled with MO HealthNet.
Although MMAC has committed to expediting all applications received, don’t delay in submitting your paperwork to avoid denied claims and remittances.
If you require medical credentialing and payer enrollment needs for your practice or medical facility, please contact 1st Assistant. Our experienced and dedicated specialists will provide all credentialing and enrollment services quickly and will monitor your account for ongoing updates and re-attestations. Heidi Henderson, our company owner and President, is eager to meet you and discuss your payer enrollment needs. Please call us at 512.201.2668 or contact us via the website.
Our credentialing experts are here to help you assess exactly which solutions you need and let you know how inexpensively we could put you on the right track. 1ˢᵗ Credentialing includes primary source verification and payor enrollment for all insurance networks including Medicare, Medicaid, Medi-Cal and insurance networks. Don’t wait another minute, contact our terrific team today!