Ensure that constant Credentialing challenges do not impact revenue, cash flow and malpractice coverage
Outsourced Credentialing Services
For over stretched practices dealing with the daily grind of scheduling, authorizations, referrals, refills, client payments, billing, coding, denials, credentialing, documentation deficiencies, etc., PTM Services enhances your staff’s capacity and effectiveness by providing complete credentialing management services. This frees up existing staff to focus on direct patient interaction activities while improving cashflow, malpractice coverage and improving overall realized revenue.
Proactively managed PTM credentialing services:
- Prevents loss of revenue reimbursement from commercial insurances and government programs.
- Avoids loss of revenue from fines and civil penalties.
- Provides the required compliance ensuring all providers are legal and competent – mitigating lawsuits and reputation damage not only for healthcare organizations, but for individual providers as well.
- Ensures all providers certifications and accreditations are current.
- Relieves practice administrative burdens.
- Provides a best practice approach – PTM’s experience and diligence in the credentialing process supports path of best practice compliance which is that of going above and beyond regulatory requirements.
All these activities impact your cash flow and realized revenue.
PTM focuses on credentialing, so your staff can focus on other aspects of the practice.
Wholistic approach
The PTM approach is wholistic and proactive. Working with our clients, PTM builds a practice specific knowledge base of all provider credentials, licenses, re credentialing dates and credentialing relationships across all relative payers and standards bodies such as:
- Council for Affordable Quality Healthcare (CAQH)
- The National Committee for Quality Assurance (NCQA)
- Utilization Review Accreditation Commission (URAC)
- The Accreditation Association for Ambulatory Healthcare (AAAHC)
This creates a practice specific Credentialing/Re Credentialing roadmap as a baseline of credentialing activities.
A dedicated extension of your practice
Clients often tell us that they consider PTM teams an extension of their practice. PTM augments and compliments your staff, freeing them up to focus on other aspects of the practice.
For Providers who are interested in a conversation about credentialing services, please call us at 573-615-8300 or send an email to our Director of Provider Services, Tina Doyle at tdoyle@ptm.services.