
Credentialing and Enrollment
Long before you open the doors to your practice, you need to research and plan for contracting with insurance carriers. It is important to complete the credentialing process long before you start seeing patients, or you risk working for free. Don't under-estimate the complexity of this process. While it may seem simple, one mistake can cost you months of insurance payments.
How we can help...
MBA HealthGroup will determine the current credentialing requirements of the practice location and credential the providers using on-line access and standardized forms (such as CAQH) whenever possible in order to maintain an optimal level of speed, efficiency and organization. We will demonstrate the process for applying for and obtaining National Provider Identification (NPI) Number assigned by Centers for Medicare/Medicaid Services (CMS). The credentialing process will operate using a customized web-based project management tool. We will follow up on all corrections and re-submissions with our rapid response protocol that includes a goal of 24 hour turnaround time. MBA HealthGroup will also keep provider data accurate through periodic electronic updates.
Step 4 to Starting a Medical Practice:: Workflow and Workspace Design


