Payor Contracting

As the founder of IOP Services LLC I have worked with the Legacy staff in detail. IOP Services is an outpatient behavioral health facility and its launch required licensure through a CON board, Joint Commission accreditation, then Credentialing , rate negotiation, and contracting with key insurance companies. Legacy was responsible for the payor portion of the project. Simply put, they made a very daunting project look easy. Communication was always immediate and clear. The results exceeded expectations.

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!

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.

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!

I have had the privilege and the opportunity to work with and to learn from Donna Carter-White. Our working relationship began in 2001 when the company in which I was a founding partner acquired Rehab Associates. During the due diligence phase of the acquisition the entire team was impressed with the organization and proficiency with which Donna ran the billing operation. She was much more than a billing executive and was involved in every aspect of the Rehab Associates business. Her expertise extended into the operations and the clinical aspects of the business. The growth in the business and the contractual and referral relationships were due in a large measure to Donna’s business development efforts. She assisted in the tremendous growth in the marketplace of Rehab Associates and continued in this role being the contact with all of the major payers and clients. The performance of the billing operation and Donna’s oversight of that area made Rehab Associates a valuable addition to the Benchmark enterprise.

When the acquisition was finalized, the focus was on integrating as much of the business in the Montgomery office under Donna’s leadership. This enabled the company to consolidate many of the existing billing operations into the Montgomery Central Billing Office. Donna has proven herself to be an outstanding executive. Her organization skills as well as her written and oral communication skills are outstanding. She is as at home in a board room as she is working side by side with her billing staff. She makes it a practice to understand and to bring insight and innovation into each area for which she is responsible. She always presents herself in a professional and confident manner and she has an innate ability to establish trust among both her subordinates, senior management and her clients. Her leadership skills are outstanding and she has the loyal support of her staff. She thinks outside the box and is constantly improving and refining the processes. Her cash to revenue goals are always met and exceeded and she monitors and controls costs keeping her cost per visit for billing well below the national average.