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.
Deadline Looming for Indiana Health Care Programs Location Linkages
Group providers for Indiana Medicaid have until January 1, 2018 to ensure that they are correctly linked to all service locations where they practice.
Starting January 1, those services billed for locations that are not linked to a provider’s enrollment record will be denied. Medicaid policy, according to the Indiana Health Coverage Programs (IHCP), requires that providers be linked to the specific locations where they supply services for a group practice.
Additionally, providers who provide services will not be able to bill for services at a location to which they are not linked.
The bottom line: Group providers must ensure that the provider profile for each group location has accurate data on service providers linked with correct effective and end dates.
Prior IHCP Claims Systems Did Not Do Location-Specific Service Linkage Check
The processing rules for IHCP’s prior claims system IndianaAIM did not verify a specific service location linkage in order to pay claims. The old system checked that the rendering provider was linked to any service location.
However, under Indiana’s new information management system called CoreMMIS, claims billed by a provider not linked to the service location identified on the claim will be denied.
When this system was implemented, there were so many providers denied for this reason that IHCP temporarily allowed “post-and-pay” through December 31st. But claims without the proper provider service location linkage will be truly denied beginning January 1st.
Check that your payer enrollment information with IHCP is accurate and location -specific. You can visit ICP Banner Page BR201731 to confirm that your providers and service locations are correctly linked.
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 to put you on the right track. 1ˢᵗ Credentialing includes payor enrollment for all insurance networks. Don’t wait another minute, contact our team today!