Issues can arise for healthcare provider or facilities that are not properly credentialed with insurance companies.
These issues can include:
· Delay in payments.
· Limited patient access.
· Delay in credentialing with insurance companies, multiple revisions.
· Not acquiring desired products.
· Providing consistent care to patient needs because office staff is pulled away to resubmit applications or make calls to clarify what is needed to get contracted.
· Unresolved questions with insurance companies – patients concerns not addressed – unhappy patients (out of network).
· Licenses, certificates, etc. could lapse. Hospitals may not receive updates and compromise staff status.
· Without a credentialing report, physician and office staff could be unsure of status of applications with insurance companies.
· Unsure of actions taken and those needing to be taken.
There are various preventatives and resolutions that can ensure a healthcare providers proper credentialing with insurance companies. Credentialing companies, such as Professional Credentialing Services (PCS), can help by working directly with the insurance companies. PCS provides quality credentialing services to healthcare providers nationwide and maintain their master insurance files for timely reimbursements. Here at PCS, we have created a detailed system of required support documents and continuously in contact with insurance companies to avoid credentialing misunderstanding. We also interface with billing offices to resolve payment errors.
To find out more information about PCS can help, please visit www.credentialpros.com
or call us at (661) 298-2541
