Provider Enrollment & Contracting
Provider Enrollment & Contracting
Simplify Provider Enrollment and Credentialing with Caddison
Key Features
Provider Enrollment and Credentialing involve the process of enrolling healthcare providers with insurance companies, government programs, and healthcare networks.
Navigating the complexities of provider enrollment and credentialing can be time-consuming and overwhelming. At Caddison, we specialize in handling every aspect of the enrollment and credentialing process, ensuring that your practice is properly accredited and able to receive reimbursements from insurance payers.
“Bullet Points”
- Range of Enrollment Services
- Knowledge & Expertise
- Payer Information
- Hands-on Providers Support
- Compliance & Accuracy
- Client Satisfaction
- Credentialing Tactics
How It Works
Step 1: Initial Consultation
We begin with an in-depth consultation to understand your practice’s needs, existing payer relationships, and goals.
Step 2: Documentation & Application Preparation
Our team gathers all necessary documents, completes applications, and submits them on your behalf, ensuring that everything is done correctly and promptly.
Step 3: Follow-Up & Communication
We maintain ongoing communication with payers to track the status of your applications, promptly addressing any issues or requests for additional information.
Step 4: Approval & Compliance Monitoring
Once approved, we ensure that your credentials remain up-to-date, handling re-credentialing and compliance monitoring to keep your practice in good standing.
Caddison offers!
- PECOS
- CAQH Registration
- Medicare & Medicaid
- Revalidation
- Individual & Group Enrollment
- TIN Registration
- NPI Registration (Ind & Grp)
- ERA & EFT Setups
- Reassignments
- Renewal of Contracts
- Out of Network Fee Schedules
- EDI Setups with multiple EMRs
- In-Network and Out of Network contracts
Credentialing & Enrollment Paybacks
- Faster Enrollment: We expedite the enrollment process, helping your practice become credentialed more quickly so you can start billing sooner.
- Reduced Administrative Burden: Our team handles the complexities of enrollment and credentialing, freeing up your staff to focus on patient care and other essential tasks.
- Minimized Errors: With our attention to detail and thorough understanding of the process, we reduce the risk of errors that can lead to delays or denials in credentialing.
- Improved Cash Flow: Proper and timely credentialing ensures uninterrupted billing and reimbursement, helping to maintain a steady cash flow for your practice.
- Ongoing Support: We provide continuous support, tracking credentialing deadlines, managing re-credentialing, and ensuring your practice remains compliant with payer requirements.
Comprehensive Process of Credentialing
1. Initial Enrollment
We manage the entire initial enrollment process for your practice, including the submission of required documentation and forms to insurance companies, Medicare, Medicaid, and other payers. Our team ensures that your application is complete and accurate, reducing the likelihood of delays or denials.
2. Re-Credentialing
To maintain your status with payers, regular re-credentialing is necessary. We track deadlines and handle all re-credentialing tasks, ensuring your practice remains in good standing and continues to receive reimbursements without interruption.
3. Credentialing for New Providers
When you bring new providers on board, we take care of their credentialing, ensuring they are enrolled with all necessary payers and can start billing for services as soon as possible. Our efficient process minimizes downtime and allows your new providers to integrate seamlessly into your practice.
4. Payer Contracting
We assist with negotiating and managing contracts with insurance companies and payers, ensuring favorable terms that align with your practice’s financial goals. Our expertise in payer contracting helps secure the best possible reimbursement rates for your services.
5. Compliance Monitoring
We continuously monitor your credentialing status and ensure compliance with all relevant regulations and payer requirements. This proactive approach helps prevent issues that could result in delays or loss of revenue.
6. Documentation Management
Managing the paperwork involved in credentialing and enrollment can be daunting. We organize and maintain all necessary documentation, keeping it up to date and easily accessible for audits, re-credentialing, or any other needs.
