As a revenue cycle management (RCM) company we understand first-hand the impact provider credentialing has on cash flow to your organization. Delays or lapses in the credentialing process can cause reimbursement to be delayed or even denied.
Trying to understand and manage credentialing is a tedious and time-consuming endeavor that rapidly consumes staff resources. Understandably so, most medical practices lack expertise in this area because it is a function that is not performed often. Med USA is a full-service RCM firm and employs credentialing experts who can help you complete each phase of the credentialing process accurately and without delays.
Our experts will compile your paperwork and get your credentialing started early. We will put your application through a rigorous review process to certify accuracy before submission. Throughout the credentialing process we will provide the necessary follow-up to ensure your application is being processed as smoothly and quickly as possible.
These requirements can be complicated, and a lack of experience or a lack of the appropriate tools and proactive monitoring, can work against your business and negatively affect reimbursement. In the beginning, these effects may be difficult to notice, but they become obvious with the appearance of claim denials and delayed or decreased payment due to out-of-network issues. Increasing government regulations, payer-specific requirements, and a general lack of industry standardization in this area all contribute to medical credentialing being difficult and time-consuming. Med USA offers both payer contracting and provider enrollment, as well as primary source verification and privileging. Our proprietary process and experienced specialists will handle every step for you to become an in-network provider and maintain the required enrollment, licensing, and privileging through our medical credentialing services.
Med USA supports both newly graduated physicians and more experienced ones through our personalized and customized Medical Credentialing Solutions Services. We create customized solutions that allow us to consult, supplement, or provide fully managed credentialing services for your practice. Our team is highly trained and able to step in, analyze, and provide resourceful recommendations for your practices, then complete all the required applications and documentation. Our services are available to all medical professionals, including group practices, hospital-based physicians, non-physician practitioners, and laboratories.
Some of the customized solutions we offer include:
One of the most frustrating aspects of medical credentialing for new providers is the number of requests they receive from staff who are inexperienced with how the credentialing process works. New providers and their staff often lack experience about the information required to complete credentialing applications.
Med USA has developed an efficient on-boarding and collection process through our proprietary tool to facilitate the medical credentialing service for new providers as quickly and painlessly as possible. Our process encompasses the collection of provider data, supporting documentation and signatory needs which gives us everything to complete applications and submit in a timely manner.
It is best to start any process as early as possible. Credentialing can be a long process and can take up to 90 days or longer depending on each payer’s timelines.
Lately, more payers have lengthened their timelines considerably and have been expanding their enrollment requirements to include Non-Physician Practitioners (NPP). Med USA Medical Credentialing Services consist of a time-tested proprietary process and a highly trained team ready to help support you through the navigation of the complicated maze of provider enrollment and credentialing. We can help you enroll a new hire, transition from one practice to another, or even set up enrollment to a new group. We will take care of the details so that you can take care of your patients.
The correct colors and markup – There are payers that will reject applications if the information and signatures are not written in black or blue ink. Med USA constantly monitors payer requirements and ensures your applications aren’t rejected.
Expiration Dates on Licenses and Other Documents
CAQH Profile + CVs – Maintain, update, and re-attest provider CAQH profiles and CVs.
Privileges at Affiliated Hospitals and Facilities – Help providers obtain privileges at affiliated hospitals and other facilities.
Re-Attestations – Re-attestation to maintain participation, meet enrollment requirements and keep all data and information up to date.
There are no long-term commitments for Med USA’s Medical Credentialing Services and pricing is usually done on a simple to understand per application or per task basis. Contact Us at email@example.com or 801.352.9500 Option 4 to learn more about our customized credentialing solutions.