If not performed correctly provider enrollment and credentialing can be time consuming, frustrating and cost hospitals and physician practices thousands if not millions in revenue.
Anders Health Care Services helps clients streamline the process, increase revenue by decreasing the time-frame for payer approval date, which in turn allows providers to participate in network many times before their hire date.
If not performed correctly provider enrollment and credentialing can be time consuming, frustrating and cost hospitals and physician practices thousands if not millions in revenue. For clients who do not have the resources or full time staff to dedicate to complete the credentialing process, stay on top of CAQH, PECOS and other payer policies and procedure changes Anders Health Care Services can handle those credentialing needs.
Provider Issues
- Lack of workflow
- Storing and managing organization and provider documentation (license, DEA, CDS, degrees, CV, resume, malpractice)
- Staying on top of payer processes and changes
- Being nonresponsive to revalidation and re-credentialing requests
- Lapse in participation causes loss in revenue due to payer denials
- Risk of losing payer participation
Client Pain Points in Working with Outsourced Providers
- Lack of feedback and communication
- Need for status report to know where the provider is at in the credentialing process
- Even though much of the work has been outsourced, there is still a lot of work
Working with Anders
Anders Health Care Services helps clients streamline the process, increase revenue by decreasing the timeframe for payer approval date, which in turn allows providers to participate in network many times before their hire date.
We will help You:
- Perform all credentialing and enrollment processes for your organization, locations, providers and mid-levels
- Update and maintain:
- PECOS
- NPPES
- CAQH
- Managed Care Plans
- Government Payers (Medicare, Medicaid)
- Increase revenue opportunities by decreasing approval timeframes with payers (gives the client the ability to bill for services quicker)
- Eliminate risk of lost revenue due to provider contract termination
- Complete and submit all payer applications and follow up (government payers and managed care payers)
- Ensure correspondence addresses and information is set-up properly for all providers and locations
- Provider and locations reconciliation for participation status with all payers to identify providers and locations that should have been previously terminated
- Update clients on credentialing changes and opportunities
- Provide a HIPAA secure online portal for clients to upload all provider and organization documentation
- Provide a secure environment to store all provider and electronic documentation and information
- Monitor provider documentation and remind clients when licensures and other documents are about to expire
- Provide regular credentialing status reports bi-weekly or monthly
About Anders Health Care Services
Anders Health Care Services is the health care specialty group of Anders CPAs + Advisors. We provide creative, yet practical, solutions to handle the balancing act required to succeed in today’s health care environment. Our comprehensive view of the health care industry recognizes how everything you do in your organization impacts your bottom line.
Efficient, Effective, Economical
When you engage Anders, we’ll always be right by your side to answer your questions and help drive smart, informed decisions. You’ll have direct access to our health care leaders and our entire team of industry advisors.
In addition to this service, we also offer extensive, multidisciplinary financial and advisory services for physicians, hospitals, medical centers, home health organizations, nursing homes and other facilities, from individual practices to multi-location health systems.
Partnering with an experienced professional services firm to make informed business decisions is important. The health of your organization depends on it. We understand the health care industry and offer valuable insights on a wide range of issues that impact the growth and visibility of your organization.
Click here to see how Anders can optimize your Provider Enrollment and Credentialing processes.
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