Credentialing Help is Here

 

Credentialing Photo

Rid yourself of all the headaches, mounds of paperwork, and confusion with the insurance companies!

Trust the experts at KMK Consultants to help you navigate the difficult process of provider enrollment and medical credentialing!

As a chiropractor, there are many insurance companies to choose from in your area and if you want to be able to accept insurance, then you have to be credentialed.  A few of the major insurance companies that typically come to mind include Blue Cross Blue Shield, Aetna, Cigna, United Healthcare and Medicare.

For many healthcare practices, credentialing can be both confusing and overwhelming.

KMK Consultants provide a full-service credentialing solution. Let us handle the complicated processes, and the repeated follow-up calls with insurance companies for you.  Click here to get started TODAY!

Listed below are answers to a some the most frequently asked questions about the credentialing process.  Call us at 1.866.933.1381 with your specific questions and we’ll be happy to answer.

FAQS

Q: Why would someone want credentialing?

A: Being credentialed with insurance panels means that you are able to see patients who have specific insurance plans and bill those insurance companies for the services you render. This can greatly increase the number of patients who can access your services.

Q: Do I get to choose the panels I want to be on?

A: Yes. When you sign up for credentialing with us, you get to choose exactly which panels you want to be credentialed with.

Q: What if I don’t know which panels in my area are best for me?

A: We can help! One of our credentialing specialists will talk with you by phone and can help you to select the panels in your area that will be the best fit for you and your practice.

Q: What are some of the more popular insurance companies?

A: The popularity of insurance companies varies depending on location. However, some of the most popular and largest insurance companies are Aetna, Cigna, United Healthcare, Humana, Coventry,  Medicare, and many others.

Q: How long does the credentialing process take?

A: The credentialing process generally takes between 90-120 days. When you sign up for credentialing with us, we waste no time getting your applications completed and submitted to insurance companies. We then follow up regularly with insurance companies to make sure that your credentialing applications are processed and approved as soon as possible.

Q: Do you have experienced credentialing providers in my area?

A: You bet! We have credentialed providers across the United States.  No matter where your practice is, we have the experience needed to get you credentialed.

Q: Do you have experienced credentialing providers in my specialty?

A: We work exclusively with chiropractors. So, if you are eligible to be credentialed, we can get you credentialed!

Q: Am I guaranteed to get on the panels I choose?

A: If you are fully licensed, we should have no problem identifying plenty of insurance companies and third party payers for you to be credentialed with. In some areas, some panels can be very selective or closed. In these instances, we will talk with you about the likelihood of a successful credentialing process. We want you to get the most out of your credentialing investment!

Q: What if the insurance panel I want to be credentialed with is closed?

A: Finding a closed panel can be frustrating. However, sometimes when panels say they are closed, they are still accepting providers, but on a limited basis. In the case of a panel saying that they are closed, we can still submit an appeal to the insurance company on your behalf. During an appeal, we will try to connect with the insurance company representative assigned to your area. We will then stress important parts of your qualifications and clinical practice. For instance, perhaps you have a specialty that the insurance company desires, or you are practicing in a neighborhood that is underserved. We do have success with many of our appeals. However, if a company is saying that their panel is closed, it might not be possible to get on the panel at that time.

Q: Do you provide medical billing?

A: KMK also offers billing services.  Contact us today to discuss your billing options.