Focus on patient care. Not enrollment.

Transcription

1 NextGen Healthcare Credentialing Services Focus on patient care. Not enrollment. Optimize office operations. Speed payments. Expand your business. Let our team of enrollment experts expedite your one-time or ongoing credentialing needs.

2 NextGen Healthcare Credentialing Services makes your paperwork our problem.

3 Let us do the heavy lifting. Choose NextGen Healthcare for your credentialing needs. For most practices, credentialing is time-consuming and labor intensive. At NextGen Healthcare, our team of professionals has the staff and technology you need to speed the credentialing process, whether it s a one-time engagement or an ongoing process with multiple payers. No matter how you practice medicine as a solo practitioner, part of a multi-specialty group, or in a community hospital our team of experts helps you expand your business, start you off on the right foot, and get paid. Save hours of work and gain time to focus on patients Eliminate the hassles of paperwork, applications, and multiple calls to insurance companies Gain the support of a team of experts that understands insurance companies and has successfully credentialed thousands of physicians in all 50 states

4 What makes NextGen Healthcare Credentialing Services different? One word: efficiency.

5 Our team lets you focus on patients, not paperwork. Instead of taking you away from patients for hours of paperwork and phone calls, our team of credentialing professionals completes and submits every necessary form and application for you, including CAQH, NPI, Medicaid, and other third-party payers. During the credentialing process, we keep you up to date every step of the way with weekly updates from our credentialing specialists. We make sure you have every form you need when it comes time to recertify even the hard-to-find ones.

6 NextGen Healthcare Credentialing Services has you covered. Credential one new doctor or a hundred. Accepting new insurance? We credential you there too. At NextGen Healthcare, we specialize in credentials management for physicians, chiropractors, nurses, and allied healthcare professionals. Our credentialing team also manages and monitors all licenses and timesensitive credentials to keep you and your practice updated on a continual basis. We provide a full array of credentialing services, structured to deliver to you exactly what you need, when you need it, affordably and professionally. Services and expertise include: Physician practice start-ups Medicare enrollment services, including physician credentialing, insurance enrollment services, and reassignment Annual credentialing maintenance Nurse practitioner and physician assistant credentialing Medicaid enrollment, DME enrollment, ERA/EFT enrollment, and employment manuals Malpractice/liability insurance CAQH registration Commercial insurance credentialing Managed care and government payer credentialing Workers compensation credentialing NPI registration (type I and type II)

7 Government and commercial payers don t scare us. Bring it on. Thorny credentialing issues with government and commercial payers are no match for the professionals at NextGen Healthcare. Our goal is to make the validation process with these payers as seamless and trouble-free as possible for you. We offer physician credentialing services to providers in all 50 states; thousands of physicians across the country already benefit from our services. Our team of credentialing experts and former practice managers understands how insurance companies think. We recognize what successfully meeting these insurance contracts means to your revenue stream.

8 Keep a powerful revenue stream flowing freely Let us help you get credentialed for Medicare, Medicaid, and commercial insurance Medicare Our services address all areas of Medicare enrollment. We manage the entire process to credential providers quickly and effectively. Incorrect Medicare enrollment can cost you and your practice thousands of dollars in lost revenue. But we understand the Medicare enrollment rules and take regular courses to keep our knowledge current. It s just one more thing you don t need to worry about. A few of the red flags for Medicare credentialing include: Have you opened a new practice location? Have you notified Medicare of this addition so you can bill for services? Has a physician left your practice recently? Are you aware that Medicare must be notified of this change? Are your claims being denied but you re not sure why? Are you opening an office and not sure where to start?

9 Partner with NextGen Healthcare Credentialing Services for these services and more PECOS Enrollment 855i - Individual Medicare Enrollment 855r - Medicare Reassignment of Benefits 855b - Medicare Group Application (required for two or more physicians under the same EIN) CMS Electronic Funds Transfer (required) CMS Physician Supplier Participation Agreement Medicare/Medicaid credentialing It s a simple truth: To receive reimbursements from Medicare and Medicaid, you first need to be credentialed with them. NextGen Healthcare helps you get your Medicare and state Medicaid credentials by submitting the forms and then actively following up with state and federal agencies to ensure timely approval. Whether you are a sole practitioner or a member of a group practice, NextGen Healthcare offers you the guidance and full process management for Medicare and Medicaid credentialing. Commercial health plan credentialing Along with our federal and state credentialing services, NextGen Healthcare helps providers achieve timely and successful health plan credentialing, too. We coordinate with in-house billing staff or third-party billing companies in updating provider ID numbers, improving cash flow, and reducing A/R accounts.

10 Need another reason to choose credentialing services from NextGen Healthcare? We ll give you five.

11 1 Our team has expertise in cr edentialing with payers and insurance plans across the country 2 We work with providers in mor e than 35 specialties and can expedite the insurance cr edentialing process for any health plan 3 You ll have a dedicated cr edentialing expert who works on your behalf 4 Contact our cr edentialing experts any business day for one-on-one support 5 Be empower ed with weekly status r eports updating you on the status of every cr edential for every provider

12 Take the Next Step Contact us to learn more about credentialing and our other end-to-end revenue cycle, billing, collections, and claims services: NextGen Healthcare Information Systems, LLC 795 Horsham Road, Horsham, PA p: f: nextgen.com Copyright 2017 QSI Management, LLC. All Rights Reserved. NextGen is a registered trademark of QSI Management, LLC, an affiliate of NextGen Healthcare Information Systems, LLC. All other names and marks are the property of their respective owners. Supercharge your solution with the NextGen Financial Suite NextGen Financial Suite provides a team of dedicated experts to take on your back office functions, allowing you to spend more time caring for patients. Our service options encompasses the entire revenue cycle from credentialing to charge capture to claim submission to payment posting and claims follow-up, including contract management, financial reporting, and analysis. Practices using NextGen Financial Suite fully optimize revenue while maximizing the use of technology and streamlining billing and A/R processes. This oneplatform approach connects and synchronizes the clinical, administrative, and revenue solutions across all areas of a practice, ensuring you get paid what you ve earned. SB28-8/17