Provider Enrollment
Unravel Complexities, Enhance Revenue, and Reduce Write-Offs
Lengthy enrollment processes result in exorbitant first-year losses, so there's an imperative to accelerate the provider enrollment cycle.
We bring deep expertise in advising and working side-by-side with hospitals, health systems, medical groups, and telemedicine groups to assess and improve provider enrollment functions. Our proven methodologies help address operational challenges that not only meet requirements, but are practical, realistic, and accelerate revenue.
Our Provider Enrollment Capabilities
Provider Enrollment Process Optimization
We work with clients to reduce turnaround time, increase revenue, improve the organization’s bottom line, and demonstrate a financial ROI. Our consultants excel at assessing and implementing standardized and streamlined enrollment workflows, developing leading-practice policies, reengineering approaches to communication and ongoing education, and optimizing technology.
Provider Enrollment Staff Optimization
We work with clients to help create effective staffing models, overcome the challenges of staff turnover, and provide training and opportunities to upskill staff. We strategize with clients to determine if FTE savings can be captured through centralizing credentialing, provider enrollment, and delegation activities. We also provide interim provider enrollment specialists to help our clients through special projects and periods of unexpected staffing changes and growing workloads.
Navigate challenges to mitigate risk and generate revenue faster.
Missing information, layered on top of outdated processes and staffing challenges, oftentimes prevents billing for a practitioner’s services for 60-90 days—or even more—after hire.
Excessive turnaround times in enrollment results in paying practitioner salaries when they cannot bill, A/R write-offs, and claims holds—creating an unsustainable business model and dissatisfied practitioners. Many organizations are unable to quantify these losses. While most health plans will allow for a certain portion to be back-billed, accelerating revenue is the ideal—and our expert teams can help.
Related Insights
Meet Our Provider Enrollment Leaders
Sally Pelletier, CPMSM, CPCS
Sally Pelletier is an Advisory Consultant and the Chief Credentialing Officer with Greeley. She brings over 30 years of credentialing and privileging experience to her work with medical staff leaders and medical services professionals across the nation.
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Let's work together to tackle your most complex challenges.
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