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.
You have payers with which you contract. Are you keeping up with those contracted relationships to ensure you receive maximum reimbursement? Make it a business-healthy habit to stay on top of and navigate your payer contracts:
Be familiar with your contracts. Know the payers and networks with which your practice contracts. If you work with any narrow networks, reach out to primary care physicians to take advantage of referrals. Make sure that you keep an updated list of all contracted payers and understand the terms of each, including negotiated payment rates. Review the list periodically to ensure that the terms of these contracts still meet the needs of your practice.
Monitor payer performance. Keep aware of which in-network payers provide the highest average payments. Track payment quality – are there any payers that require a lot of follow-up? Make sure your payments align with the negotiated rates. You’ve already agreed to contract terms and can hold those payers accountable to them to maintain your in-network status.
Track applicable dates. It’s essential to stay on top of all the various renewal and expiration dates, as well as when new contracted fee schedules go into effect. Checking these will help you renegotiate new contracts most effectively as well as apply any changing payment rates on a timely basis.
Dig into the details. Review these items for every contract: term; rate – fixed or rolling; termination date; any carve-outs; provider specialty terms; bundled payments; fee schedule changes; provider enrollment guidelines; authorization needs; referral guidelines.
If this sounds overwhelming and a burden to your already-busy staff, outsourcing payer enrollment can improve the accuracy and timeliness of all provider enrollments and re-attestations. With payer enrollment expertly managed for you, your staff will be freed up for other more patient-focused duties.
Let Us Manage All Your Payer Enrollment Services
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!