{"id":317,"date":"2022-11-08T14:39:28","date_gmt":"2022-11-08T14:39:28","guid":{"rendered":"https:\/\/credentialingguru.com\/?page_id=317"},"modified":"2024-01-17T21:37:15","modified_gmt":"2024-01-17T21:37:15","slug":"payer-enrollment","status":"publish","type":"page","link":"https:\/\/credentialingguru.com\/payer-enrollment\/","title":{"rendered":"PAYER ENROLLMENT"},"content":{"rendered":"\t\t
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PAYER ENROLLMENT<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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PAYER ENROLLMENT THROUGH GURU<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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PAYER ENROLLMENT AND CONTRACTING<\/strong><\/p>

Payer enrollment\u2014also referred to as provider enrollment\u2014is the act of enrolling\u00a0providers with your health plan so they are considered \u201cin-network,\u201d or \u201cparticipat<\/span>ing.\u201d It is the first step in the revenue cycle. Payer enrollment is part of credentialing.<\/span><\/p>

Credentialing Guru\u2019s Payer enrollment services help Behavioral Health practitioners, groups and facilities to unravel the complex process of credentialing providers and enrolling them in payer networks.<\/p>

It\u2019s important to understand the difference between credentialing and payor enrollment, as both processes are critical to the reputation and revenue cycle management of the practice.<\/p>

One frustrating aspect of payor enrollment is that both commercial and government insurance payers have varying processes to enroll in their networks. There can be a long list of rules and requirements to participate, which can result in a lengthy and tedious enrollment process. While many insurance providers aim for between 90-120 days to provide their response, it\u2019s not unusual to face a backlog months longer than\u00a0that timeline.<\/p>

This is the best reason to partner with us to help you manage your network enrollments.<\/p>

Our staff has the knowledge and expertise to manage the entire enrollment process from start to finish. Joining payer networks is a revenue cycle process and is how you get your claims paid. This is a benefit to your client.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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PAYER PORTFOLIO MANAGEMENT<\/strong><\/p>

As part of our payer enrollment services, we look after your revenue portfolio.<\/p>

This service includes, VOB, Utilization review, Appeals and claims. We also manage rate negotiations, any renewals or changes that are needed in the directory or contracts.<\/p>

We are experts at Utilization reviews and the appeals process so you don\u2019t have to.<\/p>

We know that each claim is vital to your bottom line and a positive claim paid is also\u00a0a benefit to retaining the relationship with your patients. Your cash flow is our great<\/span>est priority.<\/span><\/p>

We look at each opportunity to increase your revenue and profitability.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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PAYERS WE WORK WiTH<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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This list is not exclusive and we work with all payers nationwide.<\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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OUR PROMISE: WE PROMISE TO PROVIDE YOU WITH CREDENTIALING SERVICES THAT WILL INCREASE REVENUE AND DECREASE STRESS.<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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We know owning and running a business is tough, especially when you’re providing addiction treatment and behavioral health services.<\/p>

Our promise to you is that while we\u2019re working for you, we\u2019ll provide you with an increased profit and decreased stress.<\/strong><\/em><\/p>

We offer training and consulting for providers, groups, and facilities including operations, marketing, policy, and procedures, preparing for licensing and accreditation, in-house billing, training, and more.<\/p>

You\u2019ll be able to focus on what you love doing and helping others, while we take care of the red tape burden or burden of red tape.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tTAKE BACK YOUR TIME<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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THE BEHAViORAL HEALTH AND ADDiCTiON\nSERViCES INDUSTRY ARE CONSTANTLY\nCHANGiNG AND PAYER REQUiREMENTS\nCAN CHANGE WiTHOUT YOU KNOWiNG iT.<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tLET US MANAGE THAT FOR YOU<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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HAVE WE PiQUED YOUR INTEREST?
\n\nFiND OUT WHAT OUR CLiENTS ARE SAYiNG:<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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PAYER ENROLLMENT PAYER ENROLLMENT THROUGH GURU PAYER ENROLLMENT AND CONTRACTING Payer enrollment\u2014also referred to as provider enrollment\u2014is the act of enrolling\u00a0providers with your health plan so they are considered \u201cin-network,\u201d or \u201cparticipating.\u201d It is the first step in the revenue cycle. Payer enrollment is part of credentialing. Credentialing Guru\u2019s Payer enrollment services help Behavioral Health […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","footnotes":""},"acf":[],"_links":{"self":[{"href":"https:\/\/credentialingguru.com\/wp-json\/wp\/v2\/pages\/317"}],"collection":[{"href":"https:\/\/credentialingguru.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/credentialingguru.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/credentialingguru.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/credentialingguru.com\/wp-json\/wp\/v2\/comments?post=317"}],"version-history":[{"count":76,"href":"https:\/\/credentialingguru.com\/wp-json\/wp\/v2\/pages\/317\/revisions"}],"predecessor-version":[{"id":704,"href":"https:\/\/credentialingguru.com\/wp-json\/wp\/v2\/pages\/317\/revisions\/704"}],"wp:attachment":[{"href":"https:\/\/credentialingguru.com\/wp-json\/wp\/v2\/media?parent=317"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}