Multi-Specialty Medical Group

How MedUSA helped a large multi-specialty medical group overhaul provider credentialing & improve cash flow.

Challenges

With 174 locations and more than 130 providers, one of the largest multi-specialty groups in the U.S. was struggling with an inability to scale, high staff turnover, missed re-enrollment dates, which ultimately contributed to cashflow disruptions.

“I have not found anything that compares to Med USA Provider Relations services. Your team always conveys control, confidence & competence."

Solutions

To address these challenges, the medical group partnered with Med USA for a provider relations solution that included payer enrollment, privileging services, licensure monitoring as well as ongoing maintenance and support for CAQH, PECOS, TMHP and PIMMS profiles.

Utilizing a time-tested, proprietary process and our highly trained team, Med USA helped this client successfully navigate the complicated maze of provider enrollment and credentialing - taking care of the details so the medical group could focus on taking care of their patients.

Overview

  • 174 Locations
  • 132 providers
  • 35 health plans

Solutions

  • Payer Enrollment
  • Provider Privileging
  • Licensure Monitoring
  • CAQH, PECOS, TMHP PIMMS

Results

Med USA's credentialing services helped this client improve payer enrollment and provider privileging timelines, while developing a centralized data repository. This includes a seventy-eight percent decrease in days to payer enrollment, as well as a sixty-eight percent decrease in the number of days required for privileges. In turn, the client benefited from restored cash flow and was strongly positioned for future organizational growth.

Decrease in Days to Enrollment

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Payer Enrollment Days

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Privileging Days

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Increase in Day to Privelage

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