13 Aug Keeping Up with Credentialing
When reviewing (or developing) your revenue cycle management plan, don't overlook the first steps: making sure all your providers are appropriately credentialed with all your payers and associated products. Credentialing and Provider Enrollment are more than just arduous tasks of paperwork; without them, claims aren’t paid and revenue suffers. Opportunities to grow your practice and strengthen your revenue depend on a solid credentialing and contracting game plan. Key functions that help your practice receive proper reimbursement from insurers: Payer Product Analysis: Most insurers offer multiple products and these products can change annually, especially Medicare Advantage, Medicaid HMO, and ACA plans. Review your...