For many providers, a common hurdle is getting paid for medical services rendered by becoming credentialed with insurance carriers. A range of private and public healthcare professionals provide Medicaid services. The federal and the state governments partner through Medicaid to share the costs of the program.
Becoming credentialed can be a lengthy process for many healthcare providers and may come as quite a surprise to new physicians. This is why it is crucial to work with a trusted partner like Bikham Healthcare to make the process of completing a Medicaid credentialing application a faster, simpler process.
If you want to participate in Medicaid to treat insured patients while also receiving in-network reimbursement, you need to complete a Medicaid credentialing process. This process is known as provider enrollment. During this process, you may need to start with a phone call and complete standard forms. Through the Council for Affordable Quality Healthcare (CAQH), some standardization has been introduced to the process. However, you will still need manual intervention and follow-ups during the provider enrollment process to make sure the process is completed correctly and in a timely manner.
At Bikham Healthcare, we have developed a process for Medicaid provider enrollment that allows our clients to complete one credentialing process to participate with Medicaid. Your needed credentialing information will be prepared automatically and submitted to Medicaid. With us, you can enjoy a better turnaround time and have access to the highest quality technology during your Medicare provider enrollment and insurance credentialing process.
Insurance credentialing is the process of applying for inclusion in the provider panels of health insurance networks. At Bikham Healthcare, we specialize in Medicaid credentialing services. After we help you get credentialed with Medicaid, you will be able to bill Medicaid directly.
The services at Bikham Healthcare for Medicaid credentialing include the following:
If you would like to access these Medicaid credentialing services, reach out to us at Bikham Healthcare.
If you want to know how to get credentialed with Medicaid as a new provider, Bikham Healthcare can help you through the process. Below are the steps to follow if you want Medicaid credentialing status:
Your first step is to obtain your National Provider Identifier number, also known as an NPI number. You can obtain one of two types of NPI numbers. Type 1 is an Individual number and Type 2 is an Organizational number. You should get an Individual NPI number before you are hired to practice or before you incorporate your own healthcare practice. You will be able to use this number throughout your career as a medical professional, regardless of where you choose to work.
You are likely to work either for a corporation or for your own practice. As such, you should know exactly how you will be billing for your services. Clarify this structure with your employer or with your lawyer and accountant if you own your practice. You should determine this billing structure before Medicaid credentialing because any changes to your billing structure or tax ID number will force you to get credentialed again and start the process over.
Unless you already have medical malpractice insurance, your next step is to purchase a policy. To get credentialed with Medicaid, you should obtain medical malpractice insurance coverage. You may also be asked for a copy of the declaration page for your medical malpractice insurance. Your coverage limits should meet or exceed the listed amount in the contract with Medicaid. To prepare for the application process, you should have a copy of your declaration page.
The next step to enrolling in Medicaid as a provider is completing the CAQH application. To save time, you can upload and complete your paperwork online. Even with the convenience of an online application, the process of gathering all the necessary information can be lengthy. Complete your CAQH application before moving on to the following step.
After completing your CAQH application, get in contact with all the insurance providers you wish to be in-network with. Review the fee schedule and the contract provided by every insurance company before you agree to be an in-network provider.
The final step in the process of Medicaid credentialing for providers is getting registered with Medicare. Medicare beneficiaries include younger disabled people and seniors. If you intend to treat any of these Medicare beneficiaries, you should register beforehand with Medicare. Get registered with Medicare by completing the online enrollment forms.
Follow the steps below in the Medicaid provider enrollment application process:
For about half of health center patients, Medicaid is the primary coverage source, which is why it is so important for medical professionals to be able to get credentialing with Medicaid. Unfortunately, providers can face several hurdles when trying to get credentialed with Medicaid.
One of the most frequently asked questions from healthcare practitioners is how long it will take to get credentialing with Medicaid. In processing Medicaid credentialing applications, the leading causes for delays are inaccurate or incomplete information and missing signatures. When an application does not have errors and is processed on the first submission, the application process will be faster as you will not need to take more time to fix errors or provide additional information.
To ensure you complete the Medicaid credentialing application accurately, follow these tips:
Medicaid is a complex program that depends on a partnership between the federal and state governments. Since Medicaid comprises a significant amount of federal and state budgets, the dynamics in this program are crucial. Medical professionals should keep in mind that Medicaid exists to provide health coverage for the nation's most vulnerable families and children when considering the hurdles facing enrollees.
Why should you choose Bikham Healthcare to help you with Medicaid credentialing and enrollment? The following are the benefits of working with us at Bikham Healthcare:
At Bikham Healthcare, we also enroll the following specialties:
In our 15 years of provider credentialing and enrollment services, we have successfully filed more than 232,000 applications. We can help providers in any state, as we have extensive experience in each of the 50 states and can ensure compliance.
At Bikham Healthcare, we help healthcare professionals get connected and credentialed with Medicaid. Whether you have an existing practice or you are just starting up, we help physicians, healthcare practitioners, hospitals, chiropractors, dentists and physical therapists who need to bill Medicaid as an insurance company and in-network provider.
When you choose to work with us, we can get you enrolled with a large number of popular payers, helping you maximize your patient outreach. Providers can avoid the complexities of the enrollment process, which includes extensive documentation and timely follow-ups. Additionally, we will handle all pre-filing credentialing requirements.
Contact us at Bikham Healthcare for Medicaid insurance credentialing and enrollment today.