DENmaar: Streamlining Clinical, Administrative, and Billing Operations for

Addiction Treatment Credentialing have become absolutely necessary for medical practices who have taken it upon themselves to combat the crisis of substance abuse disorder.

The Addiction fighting workforce today is represented by at least 100,000 counselors, healthcare professionals, and educators. These professionals help in the treatment, recovery, and support of individuals suffering from substance issue problems.

However, rendering of such treatment and recovery process becomes impossible for medical professionals if they fail to get credentialed with government or private medical agencies like Medicare, Medicaid, Aetna, etc. Private and group practices cannot offer addiction treatment or collect payments from patients who are covered by the federal insurance program.
 
Addiction Treatment Credentialing – What is it?

Credentialing is the process of assessing the legitimacy and background of a medical practitioner and establishing the qualifications they require to become licensed professionals. The concept is simple and is designed to protect ailing individuals from being exploited by fraudulent practices.

With the help of Addiction treatment Insurance credentialing, healthcare professionals have the necessary license requirements to legally serve new patients and get paid by these patients for the services they perform.

Why Get Addiction Treatment Insurance Credentialing

Rising Substance Abuse Disorder (Crisis)

The crisis of addiction our nation faces today is the stuff of nightmare. In 2017 alone, 70,000 Americans died of a drug overdose. This includes prescription opioids, heroin, and illicitly manufactured fentanyl abuse. The death rate has gone up from 6.2 per 100000 people in 2000 to 14.2 per 100000 people in recent years.

The numbers signal the imminent demand for Medical practitioners who have the skills and qualifications needed to provide medical attention to a population of people suffering from Substance Abuse Disorder.

Consistent Work

Probably one of its vital benefits is how it can get a medical practice onto an insurance panel, or better yet turn them into an in-network provider. This allows for dealing with billing codes, rates, and other reports and deliverables consistently. The overall uniformity this system offers can help healthcare enterprises make essential decisions more effectively and efficiently.

Better Customer Support

As many insurance companies, today have their own team of autism specialists, in-network providers such as licensed medical practitioners have the chance to socialize and build valuable relationships within the organization that can help with faster claim resolution, or helps resolve queries regarding claim issues. This allows for pre-authorization, re-authorization, and claims information online. All of these factors ultimately enable clinics to provide better customer support to their customers.

Electronic Claims

Getting credentialed allows medical practices to send bills to insurance providers electronically. Electronic claims are a faster, more convenient way of receiving payments quickly than traditional paperwork. Unfortunately, this benefit cannot be enjoyed by medical practices that don’t possess the necessary credential requirements.

The Process of Getting Addiction Treatment Credentialing.

The Addiction Treatment Credentialing process is a long and complicated one. The whole process can take between 90 and 120 days to culminate. It is highly recommended that the credentialing process be started as soon as possible, especially for new medical practices.

You also have to be ready to take 45-minute calls every day while your application is under process. Hence due to its length of time and complicated nature, it is highly advisable to seek the help of third-party support like denmaar who can get the job done for you.

The following is the process to get Addiction Treatment Credentials.

1. The first step towards getting credentialed requires medical firms to apply for an NPI aka National Provider Identifier. An online application requires the input of information like social security number, BCBA certificate number or BCaBA certificate number, Taxonomy code for behavioral analysts, and BA license number if applicable. The NPI is usually acquired within a day and is essential to receive reimbursements for ABA services with any carrier.

2. After the acquisition of NPI, the next step is to become a member of The Council for Affordable Healthcare. A medical practice can only become a part of CAQH. The medical practice needs an invitation from the insurance provider. Once the firm can log in to the CAQH system, they are required to submit a plethora of information such as employment history, references, resume, and W9, BCBA, or BCaBA certificates, educational history, information about medical practice.

3. After the application is completed, insurance companies will have access to the information provided. They will use the information to verify it with their agency.

Stop Losing Patients with Insurance

Medical practices need to be privy of all the plans and terms of coverage offered by insurance companies. Almost all Americans are enjoying the benefits of some of the other health insurance programs. Without the necessary credentialing requirements, there is no point in even starting a medical practice that treats addiction, no matter how noble your intentions may be.

Addiction Treatment Insurance Credentialing is essential for medical practices to continue to accept new patients and receive payments to justify their services. The process to get credentialed can be tedious, a problem that can be alleviated by hiring third party professionals like denmaar who can do the heavy lifting for a medical practice.

Given the lengthy, tedious nature of Affordable Insurance Credentialing Services, the question that most physicians and medical practitioners are left with is if there is such a thing as Insurance Credentialing. Most of the cost incurred during the Insurance Credentialing is directly related to the time that physicians spend in the process.

The typical duration of the entire process is around four months. During these four months, the medical practice has to go through a variety of steps to get the credentialing process right. Frankly, it varies according to various factors.

The Affordable Insurance Credentialing Services may vary based on:

•  Current Credentialing Service
•  The number of physicians needed to be added.
•  How quickly you grow your practice.
•  Changes in insurance contracts
•  Additional services rendered from the credentialing service provider.

One way to estimate the Affordable Insurance Credentialing Services cost in calculating the time a physician would spend on the actual credentialing process. On average, that would be 43 minutes per day.

Now, if we assume that a physician works on a $100/hr, pay, that’s approximately $20000/year in credentialing work per physician. This is excluding any paperwork; of course, you lose more money if you lose relevant documents.

In hindsight, you are spending way more than $20000/year. medical Insurance Credentialing cost way less when outsourced to a third party like Denmaar.

Credentialing Cost Breakdown

Individual Physician Cost – 100-200$ per physician

CAQH Database

Initial Setup Cost can go up to $200-$500

Panel Application Cost

Physicians should expect to pay $100 per panel

So, on average, the general cost of Affordable Insurance Credentialing Services is somewhere between $2000-$3000/ year.

Most of the cost incurred in the process of credentialing is because of its lengthy nature. You lose money if you lose your documents. You lose money, if you fail to follow-up with the insurance companies, resulting in the expiration of your application. The entire process has too many pot-holes for medical practices to crash and burn.

This is why third-party Insurance Credentialing is so essential in getting on insurance panels. Denmaar offers a fully automated system that provides practitioners with end to end solutions to credentialing. You are automatically updated about the status of your application. You get automated re-validation alerts, are assisted throughout the CAQH form filling process, and alerted of your status application in real-time.

Affordable medical Insurance Credentialing Services cost can be availed only when you outsource them to companies like Denmaar.

Fill the form below or call now on 1-888-595-5100 to get a free estimate.

Psychologists Insurance Credentialing Services and counselors have become extremely important today. Psychologists, just like other practitioners, need to go through an extensive credentialing process to validate their practice.

Mental health specialists have become an integral part of the modern society reeling with record-high numbers of people suffering from a mental ailment of one form another. Psychologists Insurance credentialing Services need to have access to insurance panels to continue to cater to clients covered under the federal insurance program.

Below are some reasons why Insurance Credentialing for Psychologists Services is vital. 

Flexibility

If you are a professional working for a firm or a group practice then, of course, you can get away with not getting credentialed as your firm is already an in-network provider. But what if you want to start your own practice? In such a scenario, not having the valid credentials will pinch. Having the necessary Psychologists Insurance credentialing Services requirements helps individual psychologist tend to clients who are covered under the federal insurance program.

HMO’s

Not long ago, it was the norm for psychologists to rely on PPO’s (preferred provider options) being used by their new clients. This allowed psychologists and counselors to avoid the need for being on insurance panels.

However, today, HMO’s are used more extensively than PPO’s, which have become very rare. PPO’s simply isn’t financially viable anymore, and practice will incur fines and penalties for using PPO’s if you are out of their network.

Universal Healthcare

Our times are different than our predecessors. The affordable healthcare act launched by the US has created an amicable environment where everyone can afford to see a counselor. This is excellent news for counselors on insurance panels, and not so much for those relying on the cash-based system.

With cries for more progressive healthcare policies like Medicare for all becoming deafeningly louder, it is beneficial for Psychologists Insurance Credentialing Services to get in-network with insurance panels.

Panels are closing

Many group and private practices are vying for the same panels at the same time. This is leading to many reputed and well-known insurance panels rapidly closing down. The competition is just too intense. Insurance companies cannot afford to be in-network with everyone as it is just not financially viable for them. Hence, jumping at the opportunity sooner than competitors is important.

Just like other practitioners, psychologist credentials with insurance companies need to get in-network. With universal healthcare, they simply cannot afford to lose clients that are on insurance programs. Getting on insurance panels is crucial for Psychologists Insurance Credentialing Services and counselors to accept new clients and expand their practice.

That is where the professional assistance of Denmaar comes into play. With the help of our credentialing experts, we can walk you through the entire process without any complications and hassle  so that you can work on other core areas of your medical practice.