Enrolling providers in state, federal and commercial payor plans all take time, but the faster you get providers enrolled the sooner your organization will be reimbursed. Sound simple? Unfortunately, it isn't.
Not only does each company/entity and/or provider have to complete a multitude of forms, attach required documentation, and attest before submission; but they have to do this all while continuing to see patients. And if there is the smallest mistake on form completion or execution; it may delay enrollment for weeks if not months costing your organization money.
Fortunately, there are professionals to help with navigating enrollment associated with mergers and acquisitions as well as help you mitigate bad debt due to untimely delays.
Payor Enrollment Services (PES) consultants are experts at fulfilling the requirements of healthcare payor plans. In particular, a PES consultant can facilitate the completion of all paperwork related to the newly created company/entity and the required paperwork to ensure practitioners are credentialed correctly with all payors. The importance of these steps cannot be overstated. First, a review of the providers status with the healthcare payor plan and relevant paperwork to prepare for such types of business transactions will lend towards ensuring all required documentation is secured successfully for filing with payors . Secondly, the timely submission of all appropriate paperwork means that you will experience less cash flow disruption and can begin collecting payments in a timely manner.
The vast majority of people who enter the medical profession do so in part for humanitarian reasons. Of course, these healthcare professionals understand the need for paperwork, but typically have not been educated on these business requirements while in training. Removing much of the paperwork associated with medical care will leave you and your staff more motivated, less stressed and, ultimately, able to provide superior healthcare services. The effects on your bottom line include faster reimbursement, higher productivity, fewer mistakes and a lower employee turnover rate.
The decision to merge with or acquire another healthcare company is ultimately based on business factors. There is no panacea for the hoops and obstacles placed before you. Still, the staggering amounts of paperwork should not negatively affect this important decision as PES, offers an affordable, reliable, and relatively painless way to accomplish this portion of the task.