The Importance of Provider Credentialing
Provider credentialing, which is the process of getting a provider enrolled with payers, is a crucial step in the overall revenue cycle. Being credentialed with many insurance plans allows for increased patient volume as most patients try to choose a provider within their network to keep their out of pocket expenses low. In turn, the insurance company pays the provider directly for medical services rendered.
The process of getting a provider enrolled with a payer can involve a lot of manual work for medical office staff in terms of completing the application forms, providing clarifications to questions from payers and following up with them to close the credentialing request. However, at EMMG, we use a credentialing software program that allows us to complete these forms electronically and forward to the payers to expedite the submission process. It also assists with the follow up with payers to ensure the completion and correctness of an application to eliminate denials of claims for credentialing reasons. Read more about our credentialing process here .
In addition, EMMG also offers a comprehensive suite of custom services covering all aspects of billing, collections and revenue cycle management. Because of our vast experience in physician billing and working with practices in virtually all medical specialties we typically review and evaluate the current list of billable procedures to develop a tailored solution and routinely identify new revenue opportunities.
With over 20 years of medical billing experience, EMMG will boost your revenue collections and improve your bottom line. We have the ability to integrate with most EHR systems including ADS, ECW, Epic, Practice Fusion & more. Customizable reporting packages structured to your needs allow you to quickly review the health of your business and get back to seeing more patients.
Our services allow clinicians and their staff to focus solely on the delivery of outstanding care. For more information on our unique services and packages click here or give us a call at 516-338-5300. Our dedicated team will be happy to answer any questions you may have.