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PROVIDER CREDENTIALING

Denise Posted Wed 08th of September, 2010 01:25:47 AM

Does anyone have a "cheat sheet" or some type of procedure they use when credentialing a new provider? We recently added a physician and the process was a nightmare. I'd like to get a new process in place before the next one. Thanks!!

Denise Eickbush
Business Office Coordinator
Kansas Joint & Spine Institute
10100 Shannon Woods
Wichita, KS 67226
316-858-1900 x 145
deickbush@kjsi.com

SuperCoder Answered Wed 08th of September, 2010 05:43:53 AM

AMA has these kinds of cheat codes named as "Express Reference Coding Cards" based upon various specialties. Check this link below to know more-
https://catalog.ama-assn.org/Catalog/product/categories.jsp?parentCategoryName=Specialty+Products&parentCategory=cat590004

SuperCoder Answered Thu 09th of September, 2010 10:06:06 AM

can you please tell me who does the credentialing in offices the billing dept or the office manager thanks we are having this disscusion in our office

Lydia Answered Fri 10th of September, 2010 00:19:46 AM

I believe the office manager should be the one handling credentialing due to sensative information being released although in our office it has always been me, THE CODER!

Glenda Answered Wed 15th of September, 2010 13:15:12 PM

Denise, credentialing is definitely a nightmare. Not sure that there is a 'cheat sheet' but if you utilize CAQH and complete that application a lot of your other payers access the data from there. This eliminates a lot of duplicate form completion. Unfortunately, the government payers have their own to complete and you just can't avoid it.

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