Lengthy enrollment processes result in exorbitant first-year losses, so there's an imperative to accelerate the provider enrollment cycle.
We bring deep expertise in advising and working side-by-side with hospitals, health systems, medical groups, and telemedicine groups to assess and improve provider enrollment functions. Our proven methodologies help address operational challenges that not only meet requirements, but are practical, realistic, and accelerate revenue.
Navigate challenges to mitigate risk and generate revenue faster.
Missing information, layered on top of outdated processes and staffing challenges, oftentimes prevents billing for a practitioner’s services for 60-90 days—or even more—after hire.
Excessive turnaround times in enrollment results in paying practitioner salaries when they cannot bill, A/R write-offs, and claims holds—creating an unsustainable business model and dissatisfied practitioners. Many organizations are unable to quantify these losses. While most health plans will allow for a certain portion to be back-billed, accelerating revenue is the ideal—and our expert teams can help.
Sally Pelletier, CPMSM, CPCS
Sally Pelletier is an Advisory Consultant and the Chief Credentialing Officer with Chartis Clinical Quality Solutions. She brings over 30 years of credentialing and privileging experience to her work with medical staff leaders and medical services professionals across the nation.