Payer Credentialing, Negotiation & Contract Compliance

Payer Credentialing

Credentialing is complicated, and it takes time. You might even have to do it yourself; many billing companies do not provide this service. Do you have the tools and knowledge to do it right, and do you really want to spend time doing this instead of practicing medicine? Remember: payers will not pay an un-credentialed provider. And if you make a mistake, you could get dropped entirely.

How ENGAGE can help

We’re experienced in credentialing and all of its tedious details, and we know what each payer requires. We take care of the process for you so you don’t need to worry, and we’ve organized everything; all you do is follow the instructions and fill in the blanks. We even keep track of everything in our database so we can remind you when something needs to be done.

Negotiation

It takes a lot of time to negotiate payer contracts, so almost nobody does it. In fact, payers generally ignore such requests. Analyzing contracts is also time-consuming and difficult if you don’t have access to the latest information—but if you don’t do it, you won’t know whether you’re missing out.

How ENGAGE can help

We have the data and insight to analyze contracts and benchmark them appropriately. We can work out fair contracts with your payers that can help you maximize your financial performance.

Contract Compliance

Do you know whether your claims are getting paid correctly—or at all? Payers routinely pay incorrectly, and if you’re not enforcing contract compliance you could be losing an incredible amount of money.

How ENGAGE can help

We track every payment to ensure your are paid correctly for every CPT code. Other companies do not possess the robust technology required to extract the details necessary to track every claim so minutely. We do.