Credentialing and Contracting
Regardless of how you feel about managed care, it is here to stay and becoming more challenging every single day. However, providers can and do work successfully with these entities, providing quality patient care and receiving competitive reimbursement. Let our consultants assist you with your managed care contracts and Plan negotiations. We can assess your current contracts and possibly negotiate higher reimbursement. Our billing experts can also review your reimbursement and ensure its contractual accuracy.
The Centers for Medicare and Medicaid Services (CMS) is undergoing a massive revalidation project for all Medicare providers. CMS has increased the amount and types of documents needed to fulfill the revalidation effort and heightened provider scrutiny. Submission errors may cause delay in the approval, and even threaten your payments and/or your Medicare Provider Number. Fortunately, our credentialing consultants “speak Medicare” and can generally move this project to a speedy conclusion with minimal hassle to the provider. Call us today about any changes in your practice or Medicare status.
If you’re also a Medicaid provider, we can advise you on all matters relating to your provider status, from new provider applications to changes in your enrollment.