Pennsylvania Medical Group Management Association
Join your peers from across the state for this moderated discussion series, where experienced professionals and those new to the field will share obstacles and strategies to overcome them as they work to make their offices survive and thrive in today's tumultuous climate.
With provider credentialing a major issue and critical to patient care, medical practices and health systems work to maneuver through many hurdles including the diversity of credentialing applications. Some insurance companies have their own credentialing application, while others use a standardized form such as the CAQH form.
During the typical process, providers build up a receivable for 3 to 6 months and wait for insurance companies to approve their application. In the interim, medical practices and health systems are left with a financial burden as they wait for insurance companies to issue payment for services rendered to patients. This lag between service and payment is a hardship for all practices but there can be even greater disparity for under-served areas as the speed with which insurance companies approve providers can vary greatly from payor to payor, and area to area [rural vs. metro].
Are there motivators for insurance companies to approve the application? Can providers be reimbursed during the application process? Can a standard application be enforced?
Join this discussion as we explore the issue and potential remedies.
Paul BrewerPA MGMA Board Member
Autumn Hassinger, HITRUST CCSFP
Senior Consultant - IT & Business Risk Services
CLA (CliftonLarsonAllen LLP)
All programs are free for Pennsylvania MGMA Members. Registration is required to received the log-in information.
Registration is $20 for Non-Members.
Earn up to 1.0 continuing education unit hours for each hour of education from the ACMPE, American College of Medical Practice Executives.