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Credentialing Tips When Hiring a Newly Graduated Therapist

Posted by Daniel Ramsey on July 12, 2018
Daniel Ramsey

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Growing your business and hiring a new therapist can be very exciting but credentialing a new DPT graduate with your in-network insurances may require more effort than you think.  Lengthy applications and overwhelming documentation requirements can make the process seem impossible to navigate.

At Account Matters, we have helped countless PT, OT, and SLP practices get their new hires enrolled with insurance panels and we are here to help you with a few tips that will ensure that the credentialing process goes as quickly as possible:

1. Let Your New Grad Know What Documentation is Needed 

You have interviewed several new graduates, picked the best one, and now it’s time to make them an offer. Once they accept, let them know what documentation will be required to enroll them as an in-network provider. Some of the documents required include: their diploma, a copy of their professional license and a curriculum vitae.  It is always a good idea to set a deadline for when these documents are due to allow you to get the credentialing process started ASAP.

2. Get the “CAQH Proview” Set Up

Insurance companies across the U.S. are starting to require that attested “CAQH Proview” profiles be in place before processing new provider applications. The downtime new hires experience while waiting to be credentialed is the perfect opportunity for them to register for an account and start filling out their professional information. An incomplete or unattested CAQH Proview profile is one of the most common reasons for delayed credentialing applications.

3. Allow Plenty of Time for Credentialing

Every insurance company has a different process for enrolling new providers as in-network. You should prepare for the credentialing process to take anywhere from 30-90 days. Diligent follow up is required to make sure that the insurance company has everything they need to successfully process the application.  Patience goes a long way when it comes to provider enrollment!

Hiring a new therapist is a great move for your business and ensuring they get quickly enrolled with the insurances you accept only adds to the benefit. If your staff doesn’t have experience or the vast amount time it takes to complete the credentialing process, give Account Matters a call at 508-422-0231.   Our experts would be happy to help.

Topics: Credentialing

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