Listen Up, Doctors – You Really Need to Know This

Listen Up, Doctors—You Really Need to Know This The Buck Starts Here! By Cara Smith And that goes for you, too, dentists, optometrists, podiatrists—indeed, all healthcare professionals, whether you’re an average medical practice, urgent care facility, or large multi-specialty clinic; or a solo practitioner just starting out. Chris and Tia Aspra, who, along with partner Pam Kendricks, own and operate the medical billing,  credentialing, and consulting powerhouse that is The FIRM, have some critical words of wisdom about insurance credentialing—that murky, agonizing quagmire—that they really want you to hear. First, though, it’s worth pointing out just how important insurance credentialing really is, and what makes The FIRM so great (in addition to their flexed up resources and decades of combined experience, of course). It’s quite simple, explains Tia. “Credentialing—that is, your contracts with insurance companies—directly impacts your collections. If there’s a problem, you won’t be able to collect,” she says. “We realized long ago that billing and credentialing were inextricably linked, and that’s why we created The FIRM. We all understand both processes, which is what allows us to get maximum results for our clients.” With that in mind, let’s turn to some all-important truths about credentialing Tia would like to share, starting with the first: credentialing is extremely complicated. “All too many providers think it’s a mere matter of sending a few faxes,” says Tia. In fact, it’s a multi-stage, multi-tiered process, which needs to be done correctly and tracked meticulously every step of the way; even worse, every insurer has different requirements. In other words, your office manager, no matter how competent, may soon be in over her head. “We make sure nothing falls through the cracks,” says  Tia. “And while we can’t [...]