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.
Start the New Year Right By Avoiding These Provider Enrollment Mistakes
Becoming a provider with government and commercial insurance companies is vital for any health care provider that wants to solidify and grow their practice.
But there are mistakes that you can make that will slow or halt the enrollment process and even jeopardize your cash flow.
Providing incomplete information. The most common mistake when enrolling with providers is submitting applications without the necessary details. This practice will lead to delays, potential denials and rejection of your applications. Be sure that you supply any and all information requested with each application. Ask another staff member to double-check and review applications for accuracy and completeness.
Not following up. Don’t get lost in the incredible payer processing backlog – contact each provider to make sure that your application was received. Keep following up at regular intervals – call, email and check web and network directories. Take notes on each contact and attempted contact so you have a trail of your actions. Even if your application is missing information or if there is a delay, the provider will not contact you. It’s up to you!
Weak planning. Make sure that you plan for plenty of time for the payer enrollment process – at least 90 days, although 120 days or more may be typical for some carriers.
Underestimating the strict guidelines of government payers. Provider enrollment in Medicare, Tricare, Medicaid and other government programs is different from that of commercial carriers. Typical mistakes made with government payers include using the wrong or outdated form, incomplete submission, using a business name that does not match IRS records, not submitting data such as banking information and not signing the application.
As you can see, the provider enrollment process is lengthy, complicated and time-consuming. We can help you with each phase of the provider enrollment process for commercial carriers as well as all government plans. Give us a call to relieve your staff of this administrative burden!
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.
Thank you for your interest in our services. Let’s schedule a call to talk more about your project and how 1ˢᵗ Credentialing can help. Click here to book an appointment.
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!