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.
CMS Pilot Screening Process for Provider Enrollment Looks Promising
In an effort to make it easier for doctors to enroll in Medicare and Medicaid, the Centers for Medicare & Medicaid Services (CMS) is launching a pilot program designed to streamline the screening process.
CMS Administrator Seema Verma explained that the pilot will offer provider screening for state Medicaid agencies on an opt-in basis. The screening process will use the same methods now used for Medicare.
This move should really make sense from a provider perspective. Providers will be able to go to just one agency for approval, and once approved, it will apply to both Medicaid and Medicare.
CMS projects potential enrollment savings in the millions every year for hospitals and medical practices. Payer enrollment can be costly; it’s estimated that doctor practices spend as much as $83,000 annually – per physician– on administrative costs.
But money will not be the only savings. With the current process, physicians can wait as long as 6 months to go through the Medicaid coverage credentialing process. Time spent on administrative tasks is time taken away from patient care. And new doctors are delayed in treating patients as many employers require that they already are enrolled in Medicare and Medicaid.
Another potential benefit to the streamlined screening process is the reduction in improper Medicaid payments, which hit a whopping $36 billion – a 24% increase over the prior year – in 2016. Improper payments include payments with insufficient documentation, fraudulent claims, payments made to the wrong or ineligible recipient and incorrect amounts.
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!