Revenue Cycle Management
This critical service includes credentialing
as part of the hospital privileging process, as well as for
the credentialing required by all insurance providers,
including Medicare and Medicaid, prior to formalizing payer
contracts.
Negotiating the collection and submission of all licenses,
certificates, tax forms, degrees, along with a myriad of
other documentation required to complete the Hawaii
Credentialing Application (HCA), regularly requires the
herculean efforts of our credentialing director and his
staff.
Using sophisticated software designed specifically for this
purpose, Catalyst currently provides credentialing
verifications for the Heart Hospital of Austin, along with
similar services for our startup clients, as well as
on-going credentialing for numerous physicians and physician
groups to keep all of their needs current. This software,
for example, enables Infrahealth to receive automatic
license renewal reminders, and even when continuing medical
education (CME) credits are due.
Infrahealth plays an instrumental role in the timely
completion of, and the submittal of all your required
documents necessary for primary source credentialing.
All of these efforts translate to a greater amount of time
that you can dedicate to those that need you most: Your
patients.
For practice startups, Infrahealth works closely with
attorneys and accountants highly experienced in the medical
industry to establish the legal structure best suited for
each doctor, and to secure tax IDs necessary to initially
submit and complete the credentialing submittals. We are
equally proud of the working relationships that we have
developed over the years, and that we maintain to date with
hospitals and all insurance carriers, including professional
liability providers, who facilitate the credentialing
process.
Credentialing
This critical service includes credentialing as part of
the hospital privileging process, as well as for the
credentialing required by all insurance providers,
including Medicare and Medicaid, prior to formalizing
payor contracts.
Negotiating the collection and submission of all
licenses, certificates, tax forms, degrees, along with a
myriad of other documentation required to complete the
Hawaii Credentialing Application (HCA), regularly
requires the herculean efforts of our credentialing
director and his staff.
Using sophisticated software designed specifically for
this purpose, Catalyst currently provides credentialing
verifications for the Heart Hospital of Austin, along
with similar services for our startup clients, as well
as on-going credentialing for numerous physicians and
physician groups to keep all of their needs current.
This software, for example, enables Infrahealth to
receive automatic license renewal reminders, and even
when continuing medical education (CME) credits are due.
Infrahealth plays an instrumental role in the timely
completion of, and the submittal of all your required
documents necessary for primary source credentialing.
All of these efforts translate to a greater amount of
time that you can dedicate to those that need you most:
Your patients.
For practice startups, Infrahealth works closely with
attorneys and accountants highly experienced in the
medical industry to establish the legal structure best
suited for each doctor, and0. to secure tax IDs necessary
to initially submit and complete the credentialing
submittals. We are equally proud of the working
relationships that we have developed over the years, and
that we maintain to date with hospitals and all
insurance carriers, including professional liability
providers, who facilitate the credentialing process.
Contracting
Infrahealth provides top level contract management that
optimizes practice billing and accounts receivables from
all payor groups based on a best case scenario
contracting strategy.
As part of this integrated service, our Director of
Contract Management and his staff, first scrutinize all
available billed charges, as well as review the existing
contract language along with your current fee schedules.
Infrahealth then follows up this research with the
negotiation of rates for startup practices, and the
negotiation/renegotiation of existing rates with all
payors for established medical practices.
Infrahealth provides your practice with recommended
payor allowables for each CPT (current procedure
terminology) code used for billing within your
specialty. Infrahealth coordinates this effort with your
in-house billing department, or with an outsourced
billing company at your request.
It should be noted that numerous insurance carriers will take considerably more time to finalize your contracts, but Infrahealth will provide you these payor updates as they become available.