Credentialing is necessary for every dental practice participating in insurance networks, whether you are looking to work with a new provider or a new graduate preparing to start your own practice. Unfortunately, the credentialing process can be complex, and small mistakes can lead to your application being incomplete or denied. Every dentist should know how to avoid the most common credentialing mistakes.
Leaving Things Incomplete
This credentialing mistake might seem obvious, but many practices fail to fill in every blank, double-check all answers for completeness and properly complete the application. Even if a question does not apply to your practice, you should still enter “N/A” in the space. A single blank response could make an insurance company deem your application as incomplete.
Failing to Challenge Delays
Many insurance providers are overwhelmed with applications, and the squeaky wheel almost always gets the grease. That means that if you fail to place pressure on the provider to process the application in a timely manner, you might be sitting on the bottom of a big stack. Working with a credentialing specialist like APEX Reimbursement Specialists can ensure that the application was received, status updates are regularly procured and the provider processes your credentialing application as quickly as possible.
Check Your Documents
Is your malpractice insurance up to date? Because the process can take up to 90 days or more to complete, you should contact your insurance provider and extend your malpractice insurance policy if it will expire during that timeframe. You should also refresh your supporting documentation every time you use it to ensure it reflects any practice changes.
Trying to Do It Alone
One of the most common credentialing mistakes is trying to complete everything by yourself, especially if you are credentialing or recredentialing with multiple insurance providers at the same time. Instead of placing extra stress onto your employees and having to remember to touch base with the PPOs constantly, partner with APEX Reimbursement Specialists to ensure a smooth and easy process.
Starting the Process Too Late
It’s important to remember that credentialing does not take place on your practice’s timeline. Instead, you are always operating on the timeline of the insurance provider. Always allow at least 90-120 days to complete the process, especially if you are not partnering with a credentialing expert.
Avoid Credentialing Mistakes with APEX Reimbursement Specialists
APEX Reimbursement Specialists can handle the credentialing process and negotiate with PPOs on your behalf. Contact our team today by calling (410) 710-6005. We look forward to working with you to make your practice a more profitable place.