Credentialing
Project Overview
The practice needed to streamline and improve its credentialing process to:
- Reduce onboarding time for new physicians
- Improve payer enrollment efficiency
- Minimize revenue delays due to credentialing
Goals
- Reduce credentialing timeframe
- Increase payer enrollment success rate
- Minimize start date delays
- Optimize revenue capture
Our Approach
Our team developed and implemented an enhanced credentialing process that revolutionized the practice’s approach to provider enrollment. By creating streamlined application procedures, implementing robust documentation management systems, and establishing proactive relationships with payers, we significantly reduced credentialing timeframes while maintaining high accuracy standards. This systematic approach ensured comprehensive coverage across all major payer networks while minimizing delays in provider start dates.
What We Did
Redesigned credentialing workflow
Implemented new tracking systems
Established payer relationships
Created documentation checklists
Results
Our enhanced credentialing process demonstrated immediate impact, successfully achieving credentials with 77% of the top payers within just 60 days for the most recent physician hire. Most importantly, we completed the entire credentialing process before the physician’s start date, enabling immediate revenue capture upon their joining the practice.
Of the top payers achieved credentials within just 60 days.
“Thank you so much for all your help with the templates! We had many opportunities for improvement in our and you taking this on makes my clinical staff very happy, and saved me the time in creating them. I appreciate you working with my team here in the department to get our templates up to date. This will improve our documentation and billing.”
“Thank you so much for all your help with the templates! We had many opportunities for improvement in our and you taking this on makes my clinical staff very happy, and saved me the time in creating them. I appreciate you working with my team here in the department to get our templates up to date. This will improve our documentation and billing.”