Delegated Credentialing With Managed Care Plans - vlog - EqualizeRCM Services

Delegated Credentialing With Managed Care Plans – vlog

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Credentialing new providers with a health plan can take three to six months, and it requires a lot of staffing resources. Learn how delegated credentialing enables large practices to gain greater control over their payor credentialing and increase cash collections.


Credentialing new providers with a health plan can take three to six months, and it requires a lot of staffing resources. For each month a provider is not in network, a practice can lose an average of $50,000. Additionally, it is difficult for new providers to build their practice while they are out of network translating to a longer return on investment for new providers. To learn about the 5 questions to check if you can increase your cash collections due to payor enrollment issues, tune into our free playbook on Delegated Credentialing With Managed Care Plans. Learn from industry experts, Terri Lynn Davis, Credentialing Director, 1st Credentialing and Matt Thompson, Executive Vice President, EqualizeRCM, on the steps required to set up a delegated credentialing contract with health plans. The presentation includes the benefits of delegated credentialing, the process of obtaining the agreements, responsibilities of each party, and the internal requirements to manage a delegated agreement.
Our Experts
Terri Lynn Davis is Credentialing Director of 1st Credentialing. Ms. Davis is a credentialing expert in payor enrollment and primary source verification services. At 1st Credentialing, she provides nationwide services for a variety of healthcare providers, suppliers and facilities in numerous specialties. With over 15 years of experience in credentialing, Terri Lynn knows how to take the complex and difficult task of credentialing and make it a smooth and seamless process for 1st Credentialing clients. Terri Lynn holds a Bachelor of Science in Health Care Administration with a minor in Business Management from Western Kentucky University.

 
Matt Thompson is Executive Vice President of EqualizeRCM Services. Prior to joining EqualizeRCM, Matt was the President and Chief Executive of Medical Management Solutions, and he has over 23 years of experience in healthcare management. Mr. Thompson has served as an adjunct faculty member at St. Edwards University and the University of Mary Hardin-Baylor. Further, Mr. Thompson is a Certified Medical Practice Executive (CMPE) in the American College of Medical Practice Executives, and he is active in the Medical Group Management Association (MGMA) previously serving as the President for the Austin and Texas chapters. Additionally, Mr. Thompson is a Fellow in the American College of Healthcare Executives (ACHE). Mr. Thompson is also very active in the community serving on various advisory boards and civic associations including the Seton Fifty. In addition to a Bachelor of Arts degree in Mathematics from the University of Arkansas, Mr. Thompson has a Masters of Health Services Management degree from the University of Mary Hardin-Baylor.

   




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