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.
Payor Enrollment Mistake #9: Make Sure You Have the Correct Form for Your Provider Type
It may sound like a simple task and an easy mistake to avoid; but many medical practices consistently select the incorrect forms when completing their payor enrollment process.
The mistake is actually a very easy mistake to make because many of the forms are for specific specialties or provider types. The primary issue that results from selecting or submitting an incorrect form is your enrollment request will most likely be rejected and you will have to start the process over again, costing you months of revenue loss.
So, how do you ensure you have the correct payor enrollment form for your practice or provider?
Understanding your specialty, the providers license details and knowing the nuances of the business you are credentialing is critical. For instance, if you have a FQHC or a Critical Access Hospital, then different applications may be needed for MD’s to be credentialed with the plans than their typical provider application.
Although CAQH provides excellent guidance to collect provider information, the ProView system does not help address the proper forms needed from various insurance companies.
Online resources can be very limited and are typically on the insurance websites when you request to “join a network”. The information for your provider or specialty may not be listed, so a call to the carrier’s provider enrollment department would be best.
If you are not getting the answers you need or are unsure if the information you have is correct, then reaching out for help should be your next step. Enlisting the support of a third-party credentialing service will help reduce lead times and help you reduce mistakes so that your application processes appropriately.
When it comes to selecting the proper forms to use, it is best not to guess and to seek assistance.
At 1st Assistant, we strive to make the Payor Enrollment process as simple and easy as possible for our clients. To learn more about 1st Assistant, please visit our website or join our Facebook Group. Credentialing Talk, where we discuss all the latest credentialing trends and news.
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!