Introduction
Starting your own practice is an exciting milestone, but credentialing and billing can make or break your financial success. Here’s a quick guide to help you navigate these essential processes and avoid common pitfalls.
Start Credentialing Early
Why It Matters: Credentialing with insurance payors can take 90–120 days. Delays could lead to significant cash flow issues.
Action Plan: Begin credentialing as soon as you finalize your practice details.
Use Your Own Email Address for Portals
Why It Matters: Maintaining control over accounts and communications ensures long-term access.
Pro Tip: Avoid temporary or outsourced email addresses.
Always Link Your Email for EFTs
Why It Matters: Monitor payment notifications and avoid delays by linking your email to EFTs.
Use Your Own Address
Avoid Errors: Ensure checks and correspondence are sent directly to your practice’s address.
Choose a Group NPI Over Individual NPI
Future-Proofing: A group NPI simplifies adding providers and streamlines billing processes.
Organize Your Documents
Essentials: Keep licenses, malpractice insurance, and other critical documents updated and secure.
Understand Insurance Contracts
Negotiation: Review reimbursement rates and terms carefully or seek expert guidance.
Submit Clean Claims
Accuracy is Key: Double-check patient info, diagnosis codes, and billing amounts to avoid claim rejections.
Verify Patient Eligibility
Daily Checks: Verify insurance eligibility and benefits before appointments to prevent rejections.
Track Denials & Follow Up
Monitor Trends: Identify patterns in denials to improve processes.
Act Fast: Correct and resubmit denied claims promptly.
Partner with Credentialing & Billing Experts
Save Time: Let professionals handle the complexities while you focus on growing your practice.
Monitor Your Revenue Cycle
Weekly Reviews: Regularly track collections and payments to improve financial transparency.
Schedule a Free 30-Minute Call with Us
We’re here to help simplify credentialing and billing, so you can focus on building a successful practice.
