Contracting & Credentialing

Contracting

Payor contracts are an integral aspect to successful practice management. As a
documented representation of the business relationship between a provider and a payor,
payor contracts determine and outline how physicians will be reimbursed for their
services within different healthcare plans. They impact everything from provider
networks to negotiation rates.

A payor contract is crucial within a medical practice to maintain business flow and provide patients with the highest quality care. However, the terms and jargon muddled within these contracts can be difficult to understand. Additionally, negotiation for the best possible rates is an intricate, timely process that requires a lot of back-and-forth. Successful contract negotiation in the healthcare industry requires finite attention to detail, knowledge of contractual terms at a molecular level, and dogged persistence. These are just a few of the qualities we uphold at Infusion Health.

As a medical provider, our team understands that the contracting process can hinder you from doing what you do best- caring for your patients. Your patients are your top-priority and should always be your main point of focus. We know your passion lies in providing healing and hope every day. That’s why we are both willing and eager to take this process head-on for you, from the initial introduction to the closing handshake.

We utilize our established relationships with payors to assist and expedite negotiated rates for you. Then, we will act as your liaison to ensure that you understand everything in fine detail. We’re confident in our abilities to finesse the best possible rates for your practice while simultaneously meeting any and all necessities vital to running a successful medical practice.

After defining your practice’s needs, we will work with payors on your behalf to ensure your contract leads the industry in both economic feasibility and value. As a comprehensive team of professionals who are passionate about healthcare from a business standpoint, contract negotiation at Infusion Health will be a seamless balance of meeting your requirements and ensuring top-quality rates.

Our work doesn’t stop after the ink dries on your new contracts. Even after these steps have been finalized, we will continue to manage and maintain relationships with your contracted payors. If you have an existing that is up for renegotiation, we take care of everything from beginning to end. Making sure that your rates are not only the best in the market, but consistently stay that way is what you can expect from our team at Infusion Health. Let’s foster growth for your practice, together.

Credentialing

Credentialing- the process of onboarding a provider to a healthcare insurance plan’s network- is necessary to any medical practice’s success. Enrollment services such as credentialing will allow the physicians at your practice to reach a greater demographic of patients, expanding growth and establishing a valued reputation in your community.

At Infusion Health, our mindset is centralized to fostering growth for your medical practice. To achieve this goal, we work to understand every aspect of the healthcare industry, even at its most complex levels. Credentialing is a lengthy, convoluted process that requires a dedicated team of professionals to effectively execute it to completion. A medical practice will typically find themselves drowning in the copious amounts of paperwork associated with credentialing if they attempt to do it alone. Outsourcing to an organization that specializes in this type of work, such as Infusion Health, is a fruitful investment for any medical practice. We do the heavy lifting so your efforts can be channeled into providing top-tier treatment for your patients.

Credentialing services are an integral part of our rapport. We have fine-tuned our credentialing process so it is seamless, time efficient, and- most importantly- takes the weight off your shoulders. With a proven track record of success time and time again, here is what our step-by-step method looks like.

1

Request enrollment

2

Complete the healthcare network plan’s credentialing

3

Request enrollment

4

Complete any steps unique to the contractor

When you partner with Infusion health, we function as an extension of your team. We work collaboratively with your organization to keep your business running smoothly. The credentialing process may be tedious, but we are devoted to oversight from beginning to end.

Our team takes a personalized approach to credentialing. We understand that no two practices are alike. Anticipating needs for both your practice and the payor is another vital aspect to our credentialing process. Individualized requirements may be added to the plan that are unique to the payor’s plan. Our adaptable approach plays a key role in successfully executing this process for you. We will work with the payor to ensure that any unique requirements are met and attended to.

Increasing your payor network is just of the many ways we hope to grow practice at Infusion Health. Taking care of business so your patients can receive the highest quality healthcare is what we do best. Our team will advocate for you, so you can advocate for your patients.