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.
Indiana Medicaid Proposes Rule Changes for Provider Enrollment
The Indiana Office of Medicaid Policy and Planning (“OMPP”) recently published a notice of intent to overhaul several components of its Medicaid program through an administrative rule.
The proposed administrative rule, known as LSA #18-251, would overhaul existing program integrity, Medicaid provider appeals and Medicaid enrollment requirements and rules. In general terms, the proposed ruling would change timely filing dates to match fee-for-service claims as well as update and streamline program integrity rules.
As of now, the details of the ruling are not known as a copy is not yet available. But the notice of intent states that the OMPP intends to repeal numerous existing administrative code provisions including provider enrollment requirements. Other provisions include:
Medicaid claim denials due to program abuse or fraud
Provider payments during appeals
Medicaid provider appeals
Medical record maintenance
Medical record disclosure requirements
It is likely, based on the above list of appeals, that the proposed rule will impact all enrolled Indiana Medicaid providers.
A public comment period on the proposed ruling will open when its text is published on the Indiana Register. Any interested provider will be able to submit written comment or participate in a public hearing.
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!