Yes, our team members are all certified. They hold credentials like the CPC (Certified Professional Coder), ensuring expertise in their field.

Providers typically need to be re-credentialed every three years, though some payers may require more frequent credentialing.

Provider enrollment involves registering a provider with payers like Medicare or Medicaid for reimbursement, while credentialing is the process of verifying a provider’s qualifications and credentials to ensure they can provide patient care. Both processes are essential before a provider can start treating patients.

The time it takes to enroll a new provider with a payer can vary, but with government payers like Medicare or Medicaid, it can take up to six months or more. It’s vital to start this process as early as possible.

CAQH (Coalition for Affordable Quality Healthcare) is an online database that simplifies the provider enrollment and credentialing process, allowing healthcare providers to submit applications to multiple payers simultaneously.

To minimize delays, meticulous attention to detail is crucial. Ensuring that all submitted information is accurate and complete is vital. Outsourcing to a specialized company like Care Wing can further streamline this process. They bring expertise in handling complex credentialing tasks, are familiar with common pitfalls and how to avoid them, and can manage the process efficiently using advanced technology and processes.