In the EMS billing industry, provider credentialing is a critical step in ensuring proper enrollment for reimbursement. The Credentialing department at EMERGICON plays a vital role in helping EMS providers remain compliant and meet the stringent requirements set by Medicare, Medicaid, and other payers.
Each Credentialing Specialist embodies EMERGICON’s Texan Touch®, providing personalized and meticulous service. The team works directly with clients to handle credentials with various payers, ensuring a successful provider credentialing process. They embrace our mission of supporting first responders and dedicating their best to accomplish it.
As the Provider Credentialing team works to assist our EMS partners, they offer valuable insights into the process. Here are the top four insights from our Credentialing team:
Top 4 Provider Credentialing Insights
- Change Updates: Keeping your billing partner informed of any changes within your department is crucial for effective provider credentialing. Medicare and Medicaid have strict guidelines on when to submit providers’ updates. Failure to notify these agencies within the required timeframe can disrupt billing processes.
- Revalidation Process: Periodically, Medicare and Medicaid require EMS providers to reconfirm their credentials to continue receiving reimbursement. Revalidation is typically requested every few years, and approvals can take several weeks or even months. To avoid lapses, work closely with your billing partner to ensure the timely submission of all required documentation and prompt resolution of potential issues for provider credentialing.
- Readily Available: As part of the credentialing process, your billing company may need to contact you to manage updates or handle other credentialing-related tasks. Being readily available to assist your billing partner is essential for maintaining a smooth credentialing process. Similarly, EMERGICON ensures that our team members are always available to help and address any provider credentialing questions or concerns.
- Collaboration: Effective credentialing is a collaborative effort. The team works closely with clients, payers, and other stakeholders to navigate the complex network of requirements and deadlines. EMERGICON’s credentialing team consists of detail-oriented, proactive communicators and problem-solving experts who handle these tasks with precision, ensuring seamless provider credentialing.
For more information about EMERGICON’s services, please contact our EMS & Client Hotline: 866-839-3671 | support@emergicon.com.
EMS Patient Care Report Documentation Best Practices
Top 4 Patient Accounts Insights
Top 6 Compliance Insights