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.
States’ Efforts Help To Streamline the Provider Enrollment Process
You know how long it takes to receiver payer enrollmentapprovals from health plans to which you have applied. The enrollment process averages 90 to 120 days, with some health plans taking even longer.
The lengthy approval process can delay access to care as patients are unable to get services from those providers who are not yet authorized. Physician reimbursement shortfalls may also result when providers are ineligible for health plan reimbursement.
States Working To Streamline and Accelerate the Provider Enrollment Process
Earlier we reported on the successful attempts of Texasand Arizonato reduce the time it takes for health plan provider enrollment.
These states used tactics such as requiring that credentialingbe completed in 100 days or streamlining the Medicaid application process so that one application can be used for the 19 state plans.
With these innovations, some states are focusing on accelerating the provider enrollmentprocess so that their residents can get care quickly from qualified providers.
State-Specific Payer Enrollment Improvements Are Models for Others
The successful efforts of both Texas and Arizona in improving the payer enrollment process for health care providers serve as positive examples for other states, according to a recent article in RevCycleIntelligence.com.
These improvements will also serve as an impetus to industry reform. CAQH is working on rules and standards for electronic communications that will help streamline events like payer disenrollment. Until process improvements are ready to roll out, health care providers should be proactive with payer enrollment tasks.
Also, consider going paperless if your organization is not yet fully automated. Many providers still rely on manual processes and data collection. An automated system that tracks and manages enrollment applications can significantly reduce the paperwork and time required for payer enrollment.
Stay tuned for more payer enrollment improvement news. These changes help health care providers put patients first, not paperwork!
Let Us Manage All Your Payer Enrollment Services
If you require medical credentialingand payer enrollmentneeds 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!