Accreditation by a nationally recognized accreditation organization is a time consuming, costly, and difficult process. It is the means of demonstrating to insurers that you meet the requirements for performing the services that your facility provides. It gives you the credentials necessary for insurance reimbursement.
Increase your insurance coverage
In today’s industry, national accreditation is becoming a requirement by more insurance companies. If you’re out of network, meaning that your facility isnât contracted with health insurance plans, insurance providers will refuse to cover your practice’s services if you are not accredited. Our goal is to keep your practice out of this undesirable situation.
Understand the full scope of credentialing
Our credentialing process works to seamlessly affiliate your practice with insurance companies. In order to reach this goal, we consult with you to align our services with your practice’s objectives.
After we determine the highest level of credentials that you require, we recommend a plan of action designed to meet your objectives. We will review with you what insurance companies are looking for, how to comply with industry regulations, and what common errors you need to avoid to remove any problems with your application.
Although we tailor the credentialing process entirely to your practice’s needs, some of our core responsibilities include:
- Providing a checklist of the necessary documentation
- Filling out credentialing applications
- Corresponding with insurance’s credentialing departments
- Submitting paperwork
- Ensuring that documentation is in compliance with insurance policies
- Adding and removing insurance providers from your plan
- Following up with insurance companies for further contract negotiations
Despite the extensive process, we can get you on the right track to becoming a fully accredited practice.