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.
In today’s industry, national accreditation is becoming a requirement by more insurance companies. If you’re out of network, meaning that your facility isn’t 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.
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:
Despite the extensive process, we can get you on the right track to becoming a fully accredited practice.