Get credentialed quickly and accurately with payors to avoid
enrollment challenges and billing delays
Without successful credentialing, provider reimbursement for medical services can be delayed or even denied.
Provider credentialing is more than just forms to fill out or a minor nuisance. It’s a complex, ongoing process – and a critically important one, at that. Provider credentialing is essential for your practice, and given its many steps, critical deadlines and uncertainties, it’s best left to experts on the process. A tedious process, credentialing takes a great deal of follow-up and constant attention to stay on track. Depending upon the payor, credentialing processes take anywhere from 60-120 days. It is critical to keep this in mind when hiring a new provider or starting up a new office or clinic.
Credentialing: A Critical Step
Becoming credentialed with major payors before your practice starts to see patients is a critical step a provider can take. While not every payor requires a provider to be credentialed before they begin to see patients, many major payors, including Medicare, Medicaid, BCBS, United Healthcare, Cigna, Aetna, Tricare, and several others do. Whether you need to credential a new provider, or just a single new payor for an established practice/provider, it is essential to complete the process swiftly and accurately. Everything we do is focused on helping our clients take control over the credentialing life cycle and to generate more cash, faster.
Our Expertise Makes Credentialing Fast and Easy
Legacy has the expertise to quickly and painlessly credential a new physician or mid-level provider, as well as perform the ongoing re-credentialing required by most payors. We also administer the facility contracting, CAQH setup, ongoing quarterly CAQH maintenance, as well as any needed hospital privileges. Keeping your online CAQH database up to date with physician and other documentation ensures your ability to use it to facilitate faster processing for re-credentialing.
Requirements for Credentialing
What Our Customers Have to Say
We searched extensively for the right credentialing and billing partner for our telepsychiatry startup, ultimately deciding that Legacy was the most knowledgeable and cost efficient option for us and that decision has been rewarded on an almost daily basis. Donna and her team are experts in the credentialing and contracting space, able to not only get our providers in network with major insurance payers as well as FHCPs but have become our go-to source of guidance as we negotiate with the payers and plan the optimal way to structure our organization to make it as accessible to those who are paying with insurance as possible.
They are professional, results oriented, swift and personable. I would recommend the Legacy team to anyone who is looking to initiate or optimize their insurance credentialing, contracting or billing operation!
Reed Semcken
Intern, Cerebral Medical Group
Based on the recommendation of a colleague, we reached out to Legacy Consulting to help us with the credentialing for our new surgeon. Donna, Jennifer and the rest of their team exceeded our expectations in getting all the major payors provider numbers prior to our new doctor starting. We will definitely use them again and would highly recommend them for all of your credentialing needs.
Jimmy Norman
Administrator, Surgical Clinic PC
We have used Legacy Consulting for several credentialing projects. They have been extremely knowledgeable, thorough and timely in their responses. They have taken a challenging process and made it streamlined and easy for me as an administrator. We highly recommend them!
Amy Fisher
Administrator, Lee Obstetrics and Gynecology
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