All LTC Contracting staff have a billing background, and a thorough knowledge of the reimbursement and contract terms.
They understand the full process of how a facility must handle each point of time prior to obtaining contracts, while processing, and upon receipt. They are aware of the possible concerns that may arise down the line, and prepare for these matters by including proper terms and language into each contract.
LTC Contracting not only communicates via ongoing reports of all progress made on each contract, they are in constant contact with the facility admissions staff to know who they can accept and how to go about getting approved to accept these residents.
When LTC Contracting is handling a facilities licensure and credentialing, a tight CHOW schedule is adhered to. Every step of the process is delegated, and must be completed by the given window allowed for the process. To avoid anything falling through the cracks, a customized calendar is created so both client and staff are aware of what steps they each need to take at each designated point.
LTC Contracting Clients are offered a secure cloud based file room, where all updated contracts and credentials are maintained.
A dashboard consisting of the most up to date information is accessible to all facility staff via a secure login.
Healthcare Credentialing and HMO Contracting by The Healthcare Business Professionals.
Prior to any application submitted, each facility is researched through all gathered govt. and insurer data, as well as a market study based off comparable locations, facility services and specialties, and recent market activity
Upon beginning with either a contract or credentialing matter, all activities are then logged and reported to client regularly so progress can be followed. Facility staff receive a similar progress log so they are aware at all times of where they stand regarding both admissions, and reimbursement.
Once a facility is set up, all time dependent expirations are logged and alerts are received to ensure the facility does not lapse on any recertifications or submissions to keep themselves licensed, certified, and in contract with each party.
Prior to requesting client consent and signature of a contract each contract is reviewed against a 16 point checklist, so no term or exclusion is overlooked. Only once approved by our contracting specialist, is it approved for client signature.