An annual audit of plan participation is critical for front desk collections. It’s important to understand the plans your practice and providers participate in when collecting the appropriate co-pay or deductible.
There are many potential changes to monitor, including:
- Payer contracts may require practices to notify them within 30 days of a provider’s termination (resignation, retirement, etc.), but many practices forget to do so.
- As new plans are added by a payer, credentialed providers may not realize they need to opt-in to participate.
- Payer contracts may require providers to opt-out of plans or they will automatically be included in them.
We can keep track of all these moving parts for you. Make CredentialingOne your health plan audit service!