Doctor Management Services

Why is it that a lack of credentialing is a barrier to revenue before even a claim is submitted? If the provider is not properly enrolled with a payer, then he or she cannot bill the payer, and it is not unusual for a provider to take several months to be enrolled if applications are not monitored closely. What that means is that there is a loss in revenue before the care is even provided. Just as there were weeks to be lost because of administrative issues that no one spotted in time, medical credentialing services must also be active in handling and tracking each application, chasing missing documentation, tracking payer response times, etc., to ensure that providers can begin billing as early as possible.