One of the most frustrating things to deal with as a medical office manager is credentialing and recredentialing services. When a brand new doctor starts out at a practice or clinic, they are typically only partially credentialed or, in some cases, not credentialed at all. It can be difficult for everyone involved, including the physician and all other physicians working in the group. Scheduling appointments and services can be very time-consuming, as the staff can’t assign all patients to the new doctor’s schedule. Otolaryngology management, billing, and coding are all affected, as the billing department needs to make sure they don’t accidentally bill an insurance plan that the new physician is not credentialed to work with at the time.
Fast and accurate credentialing is one of the essential services that we provide at MD Pro Solutions. We also offer recredentialing services and a variety of other valuable options, including outsourcing medical billing services. Everything that we do is designed to help busy Otolaryngology practices, and clinics stay on top of the day-to-day duties associated with running a successful business. As a result, our solutions also help to improve patient care services and increase revenues across the board.
Why Credentialing Matters
While it is not something that you do every day like performing medical billing and coding, credentialing and recredentialing services are essential to everything that you do. When you are adding a new doctor or if you are a physician who is opening a brand new practice, the credentialing process needs to start many months before services can be rendered. In most cases, that means six to nine months before the doctor plans to even start seeing patients.
Fast and accurate credentialing is crucial because it helps to get doctors on board with essential health plan contracts so they can see patients who use these healthcare insurance companies. If you want to get paid for the services that you provide, you need to be on the health plan contract. The sooner you can start the credentialing process, the better. Our clients rely on us to take charge and provide them with these services.
Our team has many years of experience in this area and knows what these health plans require for credentialing. Every program has a different application form. Completing all of the applications and contacting the various plans can take up many valuable man-hours for you and your office staff. This is why many clients use our credentialing and recredentialing services along with outsourcing medical billing services and other options for Otolaryngology management, billing, and coding. Time-saving measures are vital to the success of any medical practice or clinic. Our fast and accurate credentialing services are designed to reduce stress on an already overworked office and provide quick results.
In addition to providing the initial credentialing, our team works to make recredentialing services even easier in the future. We have solutions in place to manage the plan applications and retain the initial information provided so it can be updated and then easily sent off during recredentialing. Our many years of experience working with managed care plans has given us insight into the process involved and the common pitfalls associated with credentialing. We help our clients to avoid potential problems and delays by going above and beyond to submit applications in the way that the health plan companies prefer.
What to Expect
When you hire MD Pro Solutions to provide you with credentialing services for every provider in your office, you gain our many years of knowledge and experience in the industry. We have worked with ENT physicians and practices for over 45 years, which has helped us to provide our new clients with an array of credentialing and recredentialing services that are very valuable. Our team includes all of the important documents with each submitted application, including current licensing, CMEs, declarations pages, malpractice narratives, and certifications. We do this before we send it to your office for the final signatures.
It is important to note that the services we provide for fast and accurate credentialing are only for health plan insurance payers. We do not provide credentialing and recredentialing services for hospital privileges.
We can assist with the initial credentialing and re-credentialing for every provider on staff and also provide comprehensive record-keeping for all applications that have been made to the insurance companies. We also offer completion and storage of all 855s for Medicare patients, as well as preparation of forms and all relevant documents. Like our other Otolaryngology management, billing and coding services, our credentialing is a personal service, which includes on-site visits to your practice or clinic as-needed. Our services are designed to help you save valuable time and money so you can get on with providing quality healthcare services to your patients.
Call MD Pro Solutions at 508-946-1665 and speak with one of our consultants about any of our professional services for ENT practices and clinics. We offer a variety of solutions, including outsourcing medical billing services, credentialing and recredentialing services, account management, and much more. Call today for a free estimate for our services.