January 2022
Requirements for Timely Provider Credentialing
Did you know? Minnesota passed credentialing legislation that became effective 1/1/2022. This legislation requires that the credentialing process with Minnesota payers be completed within 45 days of a clean application. Read more…
Revenue Cycle Housekeeping Tips for the Beginning of the Year:
- Provider Directory information should be reviewed for each of your contracted payers. Review locations, providers-including credentials, specialties, addresses, phone numbers, clinic hours, services, and status of accepting new patients.
- Verify insurance coverage. Plans often change at the first of the year.
- Verify eligibility and benefit coverage for patients.
- Know which procedures will require prior authorization. The mandated list seems to grow daily.
- Ensure you have a strong policy to collect co-pays and deductibles prior to, or at the time of service. Make sure you staff knows how to collect co-pays and outstanding balances at patient responsibility at the time of service.
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