How You Can Cut Costs and Get More Cash Flow from Chiropractor Credentialing
Keeping your chiropractic business healthy is hard. You need to get new patients coming in. And give great care to keep them happy. And make sure they pay their bills. And control your costs. It’s a lot to balance! One area many chiropractors miss is credentialing. Credentialing is a process of confirming that provider’s education, training, experience, and professional competency meet the standards for patient care. It takes time. But it lets you get insurance payments. Doing credentialing right saves money and gets you more cash flow. Here’s how to make it work for your practice.
Collect Necessary Documentation
The initial credentialing can be complex and time consuming. Apply for NPI. Collect all required documents about provider’s education, work history, licensure malpractice insurance history.
Build Strong Profiles to Get Approved
Insurers review provider applications closely. They check if credentials are current and payment histories are clean. So, audit the provider files first. Incomplete or inaccurate profiles get denied. That means long appeals. Doing this work upfront helps you get approved fast.
Go Paperless to Speed Things Up
Credentialing requires keepingdocuments current and accessible. Like licenses insurance certificates, and provider details. Go digital to access documents instantly and avoid duplicating work. Scan key items into one credentialing file. Update it when you renew licenses and certificates. Have a system so staff can find paperwork easily. Set reminders for expiring documents. This prevents potential lapses.
Apply for CAQH
Working with several health plans takes lots of paperwork. However multiple insurance companies accept CAQH ProView as the credentialing application. This saves you time and administrative resources.
Learn Plan Rules to Prevent Rejections
Insurers all have different credentialing requirements. Contact each insurance company directly and see what extra items they need beyond the standard packet. Ask how long their approvals take. This lets you plan when to apply.
Watch Due Dates to Avoid Gaps
Know when each insurer credentialing expires, and the recredentialing is required, usually every 2 to 3 years. Put reminders on your calendar. Start renewing 60-90 days ahead. Pay attention to the recredentialing request and provide the supporting documents promptly. Delays slow things down, and may result in termination. Stay proactive. This prevents costly coverage gaps.
Outsource Renewals to Free Up Your Staff
Handling credentialing and re-credentialing in-house adds an additional administrative burden to your staff. Outsourcing lifts this workload off them. Make credentialing easier with Olympus’ Chiropractic Credentialing Services. We will take over preparing and filing applications, follow up with insurers, recredentialing; commercial insurances, Medicare/Medicaid, VA, and more.