Medical Billing Forum

General Category => General Questions => Topic started by: dc006 on February 08, 2009, 11:01:19 PM

Title: Credentialing Beginner & Software
Post by: dc006 on February 08, 2009, 11:01:19 PM
As a new start-up credentialer what credentialing software do you recommend? Also, how can the credentialing process be shortened and lastly, what should I charge for my services?  Thank you. :)
Title: Re: Credentialing Beginner & Software
Post by: Michele on February 09, 2009, 05:50:11 AM
I don't use credentialing software so I can't advise on that.  There is really no way to shorten the credentialing process other than to complete the proper paperwork correctly the first time.  As far as charging, there are a couple of different ways.   You can charge an hourly rate, or flat fee per application. 

Michele
Title: Re: Credentialing Beginner & Software
Post by: dc006 on February 09, 2009, 06:14:11 AM
Thank you Michele for your response.  I assumed that since there's so much credentialing software out there that "most" people must be using it.  Sounds like the manual way is the best.
Title: Re: Credentialing Beginner & Software
Post by: ChristineS on May 05, 2009, 11:08:48 PM
How do you know what the going rate is? Do you do a market survey for that or is there a set fee most people stay around?
Title: Re: Credentialing Beginner & Software
Post by: PMRNC on May 07, 2009, 06:23:50 AM
I have been doing credentialing for years but I do it from start to finish and also provide contract review and fee schedule negotiations so I charge hourly (varies on location, travel, expenses, etc)
I only provide the additional service of contract review because I have a great deal of experience and education in contracts, and I require the provider have an attorney to "sign" off on my reviews. I charge anywhere from $35-$50 per hour, if it's a part of my consulting services it is then built into my consulting rate of $125-$200 per hour.
I don't use software either. Rather I use a good contact data management program and each client has their own database. For each carrier within each database I can retain forms (scanned and fill in), and do pretty much anything a specific software for this could do. Some of those credentialing softwares are pricey and because of all the carrier updates and requirements changing they can be an ongoing cost.

Linda Walker
PMRNC
www.billerswebsite.com
Title: Re: Credentialing Beginner & Software
Post by: dc006 on May 27, 2009, 10:23:04 PM
Hello Linda and Michele:

Is there any kind of difficulty with changing a providers' addresses? I assume a form
letter or telephone call to each carrier will be fine?  As you can tell, I am very new to credentialing and I want to do things right.

Also Linda, what is the name of the contact data management program you use for your credentialing clients?

Thank you.
Title: Re: Credentialing Beginner & Software
Post by: Michele on May 28, 2009, 07:39:52 AM
To change the address you need to check with each carrier for what they require.  Most have a 'practice update form' that is fairly simple and can be faxed in, but Medicare requires the 855I or 855B, depending on whether it is a group or an individual.

Michele