We Manage Your Insurance Contracts So You Don't Have To
As a physician, you want to maximize your revenue and make sure you are getting paid what you deserve. KSL will assist you in navigating the managed care landscape.
KSL will help you by:
- Assisting in setting fees at an optimal level by analyzing reimbursements by major payors
- Assisting with evaluating current contracts with networks and other entities to determine in which plans to participate
- Ensuring correct fee schedules are loaded into the system
- Creating a database of all providers showing all managed care plans for which you have been credentialed with effective dates, termination dates and renewal deadlines and terms.
- Identifying group contracts versus individual provider contracts and opportunities to transition to group agreements
- Creating a database with contact information for all payors, by product if applicable, to expedite matters related to managed care going forward
- Representing you in negotiations with payors to improve contractual relationship terms and reimbursement rates
We Streamline the Credentialing Process
With all of the other functions that practice managers, physicians and facilities have to address in running a medical practice, it can be cumbersome to maintain credentialing applications for physicians and allied professionals. Functions that we provide to you:
- Medical staff credentialing
- Payor credentialing and re-credentialing
KSL can streamline the process for you. We will:
- Speed up the process of new physicians and allied professionals becoming “in-network” reducing time that billing needs to be held
- Update all providers’ applications for payor or facility credentialing and re-credentialing on demand
- Track your Medicare, Medicaid, and Private Payor applications on a regular basis to ensure the receipt of and status of the application process
