In the words of Red Adair, “If you think it’s expensive to hire a professional to do the job, wait until you hire an amateur.” Credentialing dictates how you bill. Do I bill as a group? Should I credential my nonphysician practitioners (NPP)? Which place of service (POS) should I bill with based on my contract? These are all important questions. Did you know that in April of this year, an urgent care chain reached …
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Beware of Urgent Care Contract Clauses on Offshore Vendors, Other Issues
URGENT MESSAGE: As payers introduce new clauses into urgent care-specific contracts, urgent care operators need to be vigilant to how several changes may affect their day-to-day operations. Kelly Mattingly is Director of Contracting & Credentialing at Practice Velocity, LLC, and a contracting and credentialing consultant with Urgent Care Consultants. With each new clause, provider contracts offered by payers become more complex, adding a host of burdens to the day-to-day operations of the urgent care center—eg, …
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Due Diligence is Critical When It Comes to Credentialing
Credentialing is a process used to evaluate the qualifications and practice history of a doctor, including a review of completed education, training, residency, and licenses. It also includes any certifications issued by a board in the doctor’s area of specialty. Many urgent care centers assume their providers are fully credentialed; however, it is advisable to do your due diligence when engaging a new physician to ensure he or she has the necessary credentials. Even if …
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