As a healthcare provider, you suddenly find out that your practice has been dropped from an insurance plan and will now be reimbursed at the out of network fee schedule. Worst of all, your patients may choose to go to another provider because they don’t want to pay the excessive out of pocket expense. Now it is a high priority to get back on track with the insurance plan. Unfortunately your staff is pulled away from their job which is to provide your patients with the best possible care.
Maybe you have been dropped out of an insurance plan because you have not returned the necessary paperwork to provider relations or the demographic department. Perhaps your front office and/or back office staff becomes overwhelmed by the amount of credentialing paperwork. Have you informed your insurance companies that you have moved, changed your Tax ID or joined or left a group? You must update the insurance companies to get paid correctly!
Now about Medicare. Can you even say Medicare without screaming? Just when you think you may be getting a grasp, it changes! The enrollment process is very complex, especially where Medicare is concerned. If you forget to cross one 't' or dot an 'i', they will kick the entire packet back to you. As you may know, Medicare can take up to 30 days to returned application to you. Then the enrollment process starts all over.
The average healthcare provider will need to submit, maintain, and track credentialing and recredentialing applications several times a year. In the bureaucratic nightmare that is the existing medical credentialing system, every medical practice needs to stay on top their credentialing.
In 2001, Professional Credentialing Services was established in response to the growing demand for credentialing specialist within the healthcare industry. PCS specializes in the complicated and frustrating task of completing and maintaining healthcare professionals credentialing files allowing you to do what you to do best. Call PCS or visit our website for additional information.
(661)298-2541
PCS will save you time and money, getting you quality results!
