It’s not every day that laws are passed unanimously, but that’s exactly what the Arizona legislature did when it passed HB2322. Requiring healthcare insurers to speed up the process of credentialing new providers into their networks, this bill is a welcome change.
Your staff is shrinking, the workload is growing and your healthcare organization has acquired a practice with 50 new providers. How do you get them onboard, enrolled with payors and credentialed by the end of the fiscal year?
It's packed with valuable insights to make governance, risk, and compliance the simplest part of your day.
Want to secure timely payments and ensure a steady flow of income? (Of course you do.) But what do you do if your information is not accurate, timely, and thorough? Well, for starters, you’ll delay the processing of your applications for approval in provider networks, which can have several repercussions (including losing new patients!) because you are not In-Network or having to write off huge amounts due to non-network status.
Here at symplr, we get a lot of questions about payor, or provider, enrollment – and for good reason! Although payor enrollment can be complicated, it’s an absolute necessity for healthcare providers. Read on to see if we’ve answered your questions, and to learn how symplr can help.
Enrollment So, in the inimitable style of David Letterman here are the Top ten things an enrollment professional needs to know to be successful during the upcoming busy season (and any other time actually):
Doctors are humans. They get sick, take vacations, go on maternity leave, or need time to sharpen their skills with continuing medical education. And when a doctor can’t be there, s/he uses a substitute physician, commonly known as locum tenens. However, there are some common misconceptions when billing for a locum tenens. CMS (Centers for Medicare and Medicaid) has specific billing guidelines; just because you’re using a locum tenens agency doesn’t mean they consider your substitute physician a locum tenens for billing purposes.