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.
Insurance companies are not keeping provider data updated in their directories. Patients use the directories to make sure a provider is on their specific plan and what their demographics are. Directories are supposed to help the consumer gather all of the important information before calling a physician’s office and making an appointment. What we are finding is that provider directories are not always up to date and this requires the patient to find another provider. Beginning in January 2016, the Centers for Medicare and Medicaid Services (CMS) put new regulations into place that will now fine insurance carriers for having errors in the Medicare Advantage Plan directories. The fines are specific to policies sold through the health care exchange, however, CMS is highlighting an issue that is broad and not exclusive to one plan or carrier. There are many moving parts that need to take responsibility for updating the data. First, if there is a change to a providers demographics or a policy change, they need to let every insurance carrier know about those changes. Secondly, the insurance company needs to update that change in a timely manner to the providers profile and upload it to the directory. Patients rely on this information to be correct so they are sure they can ensure their claims will be paid by the carrier. Providers rely on the carriers to promote the locations, phone numbers and participating providers in their office correctly so patients can find them. Are you updating all of your information with your carriers?
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 payor enrollment for all insurance networks including Medicare, Medicaid, Medi-Cal and insurance networks. Don’t wait another minute, contact our terrific team today!