Payor EnrollmentRelocating a successful healthcare practice involves far more than simply signing a lease, informing your patients and moving all the physical assets. It also requires the completion and submission of a long list of documentation to the appropriate governmental agencies, regulatory bodies and payors.

The Practice

If you are relocating to another state or area, there are many issues that you should be cognizant of. Depending on your new location, you need to be aware of the importance and time involved in updating your legal entity and Tax ID with the IRS. You will also be required to apply for new licenses, liability insurance, certifications and banking information. Paperwork must be properly completed and submitted because errors or omissions can significantly delay the opening of your practice.

While relocating in the same area does not require the same degree of paperwork, notifications must still be made to all insurance payors, patients and licensing agencies - and this must be completed before your organization can begin seeing and billing patients in your new location. Though it sounds like a relatively simple task, it is one that can take weeks if not months to accomplish.

The Staff

Similarly, the staff of a relocating practice will have to update their licensure, privileges and malpractice insurance with the appropriate area offices. There is, indeed, a mountain of paperwork that accompanies these tasks and if not handled correctly, your practice will suffer a lapse in service again resulting in billing and reimbursement issues.

The Payors

Equally important is fulfilling the requirement of your healthcare insurers and other payors. In particular, all providers will need to be updated and potentially re-credentialed with all payors to reflect the new practice information. This situation is only exacerbated by the fact that it must be completed for each and every payor and if you move out of your historic service area it means starting from scratch. For example, new Medicare numbers may need to be obtained if your new practice is in an area serviced by a different Medicare administrative contractor which will add months to your enrollment time. Additionally, some commercial carriers will also require new enrollment or new contracts depending on your circumstances. Each state has its own requirements which can be difficult to navigate for the inexperienced.

Time is Critical

As mentioned above, the process of relocating a healthcare practice should not be viewed as a sprint and haphazardly hurried. The accurate and careful completion of paperwork is the key to most efficiently finishing this particular race. By the same token, the enormous amounts of paperwork will seem like a marathon to your employees if they have no knowledge or experience of how to do so.

The use of a provider enrollment services company may well be the right solution to your problem. These companies have the experience and expertise to accurately and correctly submit the necessary documentation for credentialing and payor enrollment. Let their staff do the paperwork while yours concentrate on your patients.


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