Credentialing comes before even bill your first claim is submitted. Failing to manage the credentialing and contracting process WILL cause loss in revenue. To most, credentialing is a long drawn out process, filled with completing applications, waiting on hold for provider relation representatives, and gathering lots of documentation. No worries! Here’s how we can help!
Obtaining an NPI
(National Provider Identifier)
A National Provider Identifier or NPI is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).Intelli-Med will obtain this NPI for you with a turnaround time of just a single day.
So you’re a new provider, and you’re ready to see your first patient. Not so fast! If you plan to accept insurance, you must credential with most insurance companies to receive reimbursement. We will help you credentialing and contract with the insurance companies of your choice.
Starting a New Practice Maybe you were credentialed and contracted with your previous company. So many providers assume the credentialing and contracts will follow them to their new practice. This simply is not true. When a provider changes tax-id, often time’s new contracts will need to be obtained. If you change states, the credentialing must start from the beginning in the new state, if for national insurance companies. We can help get you credentialed and obtain new contracts under the new tax-id or your social security number.
Adding new provider in practice
Your practice is growing, and you need to add providers. Some insurance companies will require group contracts for practices with more than one provider. Each provider will need to be credentialed and either added to the group contract, or have an individual contact that will pay to the practice tax-id. We can help make sure each provider has completed the necessary application and contracts to ensure your practice is paid for services rendered.
New Insurance Company
At some point, your practice may decide to accept new insurance payers. This will require establishing contracts with the new insurance company. We can help you establish contracts and review the fee schedule for the new insurance company.
Hire us to be your Credentialing Manager
Keep your data up to date with each insurance.
- Update CAQH
- Medicare Revalidations
- Maintain credentialing documents and contracts
- Re-credentialing management