Next Gen Consultants is a leading Health Care Practice management, Eructation, Carrier & Tech Solutions consulting Company, delivering provider enrollment and credentialing, and medical licensing services, foreign Educational enrollment in Universities, Carrier Job Placements and Tech Solutions.
Let our experts take away the headache of filling out all the provider credentialing and provider enrollment paperwork and cutting through all the red tape for you. We get you enrolled and credentialed with all of the insurance companies and we get it done right! We take your information and get to work immediately and don't stop until it is done and you are 100% satisfied.
Provider enrollment is an inevitable process that comes with running a healthcare business such as a physician practice, rehab clinic, or urgent care center. Becoming a provider with commercial and government insurance companies is essential to maintaining steady patient referrals and cash flow and are the backbone of any successful practice. Avoiding the following common mistakes will ensure your credentialing application and provider enrollment process moves along efficiently and timely.
During this early application phase, an insurance company needs a
thorough picture of your current and past medical practice to determine if you
would be a good fit for their provider network. Requested data usually includes
practice address, phone, fax, contact information, services provided, copies of
your licensure, employment history, average patient profile and any records of
past legal troubles regarding your medical practice. Omitting any of this data
can lead to delays in your provider credentialing, and it can sometimes be
grounds for a denial. Also forgetting to sign the applications and contracts
can cause significant delays.
Whether you are compiling this data yourself or working with a provider
enrollment and credentialing company, checking your initial application for
completeness is essential. Using a provider enrollment and credentialing
service will ensure that your information is complete and in the correct format
and uncover any areas you may have forgotten about.
Many practices get started on the provider enrollment process too late, which can be a matter of success and failure for a new start-up practice. In ideal situations, you would want to begin the process at least 90 days prior to opening (with the exception of a provider already joining an existing practice). It should be known that for a new start-up, outsourcing the work to a provider enrollment company, can take at least 4 - 6 months to complete the entire process, doing it on your own could take 8 - 12 months. Many practices simply cannot survive within that time frame.
As mentioned above, the average provider credentialing process can take
months for many practices. Regular contact with the insurer will keep you up to
date on your application's status. It can also help to shorten this waiting
period in some instances. Many payors are understaffed and the process
takes much longer than in the past and being proactive is your best
weapon.
Enrolling as a medical provider requires attention to detail and consistent
follow-up with an insurer. Working with a provider enrollment and credentialing
company can help you complete each phase without unnecessary delays. They can provide
you assistance with both government-based and private insurer applications as
well as any CAQH and NPI requirements.
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