ClinicTracker EHR has added credentialing to the portfolio of services we offer through our partner, TriZetto Provider Solutions (TPS). Credentialing is a powerful combo of "people and process." Whether your practice needs to be credentialed for the first time or you need re-credentialing assistance, you can trust their experienced team to gather, validate and confirm each piece of critical data in the credentialing process.
Obtaining and maintaining provider credentialing is critical to successful revenue management. This burdensome administrative task requires high attention to detail and dedicated follow-through. That explains why 85% of applications are missing the information insurance companies require before they will reimburse for a provider’s services. The TPS team of trained credentialing experts and their powerful technology workflow tool ensures a faster path to credentialing providers and accelerating revenue collection.
Features and Benefits
The expert staff at TPS will gather information for each provider and develop a credentialing packet and application that they submit to payors. They subsequently monitor all applications to make sure they were accepted. Most importantly, their team pays close attention to re-credentialing schedules and timelines, making sure every provider’s credentials are always up-to-date. You’ll get a weekly report regarding all stages of the credentialing process for each payor. Timely appeals make it possible to resolve denied credentialing requests quickly. Plus, you'll have a powerful workflow tool at your disposal that streamlines and prioritizes the process of reviewing paper documents and requirements.
TPS credentialing professionals know the intricacies of gathering the right information for each insurance company, and how to follow up so that details don’t get missed:
- Online forms submitted and confirmations tracked
- Completed, printed packages sent to your staff for mailing to payers requiring mailed submissions
- Continuous follow up with each payer to provide you with ongoing status updates
What does this all mean for you? You can be far more assured that the claims you submit will be paid. Let the TPS professionals help capture revenue previously written off due to high “Days in Enrollment” and free up your personnel to focus on other high-value activities for your organization.
Ready to get started? To learn more or schedule an assessment, contact us with the form below.