Transforming Credentialing Processes with PMG Credentialing

Background

Prior to partnering with PMG Credentialing, Inc., this health center’s credentialing process was cumbersome and inefficient. The manual procedures led to frequent delays and errors, impacting overall operational efficiency and financial performance.

Challenges

The primary challenges we faced included:

  • Lengthy processing times for credentialing applications.
  • High error rates due to manual data entry.
  • Lack of coordination between our internal team and outsourced billing company.
  • Inconsistent communication and follow-up on credentialing statuses.
Exploring Solutions

When considering changes to our credentialing process, we evaluated several options:

1. In-house Process Improvement: Enhancing our existing manual processes with additional training and resources.

2. New Software Implementation: Adopting a new credentialing software to automate and streamline tasks.

3. Outsourcing to a Specialized Firm: Partnering with a credentialing service provider with expertise in managing these processes efficiently.

“After thorough evaluation, we decided to partner with PMG Credentialing, Inc., given their proven track record and comprehensive service offerings.”

Implementation and Improvements

Since integrating PMG Credentialing, Inc. into our operations two years ago, we have observed significant improvements including:

  • Streamlined Processes: The credentialing process is now more efficient, with reduced processing times and fewer errors. 

  • Enhanced Coordination: PMG works closely with both our internal team and outsourced billing company, ensuring all priorities are discussed openly and addressed promptly. 

  • Routine Meetings: Regular meetings are held to discuss statuses, address questions, and set priorities, fostering better communication and collaboration.
Results

The impact of partnering with PMG Credentialing, Inc. has been substantial, resulting in:

  • Increased Payments: Our payments have increased by approximately 50%, reflecting the efficiency and accuracy of the new credentialing process. 

  • Improved Data and Reporting: Enhanced data collection and reporting capabilities have provided us with valuable insights into our operations, enabling better decision-making.
“Our payments have increased by approximately 50%, reflecting the efficiency and accuracy of the new credentialing process.”

Conclusion

The collaboration with PMG Credentialing, Inc. has transformed our credentialing process, leading to significant operational and financial improvements. Their expertise and proactive approach have been instrumental in achieving these results, and we look forward to continuing this successful partnership.

Would you like to see how we can help your health center succeed?  Contact us to learn more!

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