Navigating the credentialing gauntlet: Key actions for revenue cycle management

Question Title

1. On average, what is the estimated cost to credential a provider?

No cost

Per claim cost

$200

$1,000

Question Title

2. Is credentialing a good way to determine if a provider has any pending medical violations?

True

False

Question Title

3. Fill in the blank: Practices would do well not to ____________________ can do to its revenue cycle.

underestimate what a poorly organized credentialing process

understand long delays in processing new provider applications

underestimate the lack of communication from payers to medical practices

Question Title

4. If providers are not credentialed, they could face long delays in processing of their applications.

True

False

Question Title

5. What should be the goal to receive payment once a claim is submitted?

30 days

45 days

60 days

120 days

Question Title

6. If a provider is having credentialing issues will claims need to be reworked?

Yes

Question Title

7. What key performance indicators (KPIs) do claim denials impact?

Days in AR

Aging claims

Denial of procedures

Clean claim rate

A, b and c

Navigating the credentialing gauntlet: Key actions for revenue cycle management

Question Title

* 1. On average, what is the estimated cost to credential a provider?

Question Title

* 2. Is credentialing a good way to determine if a provider has any pending medical violations?

Question Title

* 3. Fill in the blank: Practices would do well not to ____________________ can do to its revenue cycle.

Question Title

* 4. If providers are not credentialed, they could face long delays in processing of their applications.

Question Title

* 5. What should be the goal to receive payment once a claim is submitted?

Question Title

* 6. If a provider is having credentialing issues will claims need to be reworked?

Question Title

* 7. What key performance indicators (KPIs) do claim denials impact?

1. On average, what is the estimated cost to credential a provider?

2. Is credentialing a good way to determine if a provider has any pending medical violations?

3. Fill in the blank: Practices would do well not to ____________________ can do to its revenue cycle.

4. If providers are not credentialed, they could face long delays in processing of their applications.

5. What should be the goal to receive payment once a claim is submitted?

6. If a provider is having credentialing issues will claims need to be reworked?

7. What key performance indicators (KPIs) do claim denials impact?