In 2023, Hometown Pediatrics switched to OP for all its revenue cycle management needs, including credentialing and enrollments. OP’s specialization in pediatric billing and credentialing were key factors in the decision. The results were immediately transformative. The practice experienced significantly faster credentialing turnaround times across multiple payers, including their leading payer, Anthem Blue Cross Blue Shield. “We hired a new nurse practitioner in October who was fully credentialed with OP faster than the one hired three months earlier with our previous company,” Mandy said. “OP really excelled with our credentialing. It cut the process time in half.” OP’s credentialing expertise accelerated the practice’s revenue cycle, expanded patient access, and ensured they got fully reimbursed for their services from the start.
Dotting I’s and Crossing T’s
OP’s seasoned credentialing team is well-versed in the intricate details of payer applications and industry rules and regulations, so submissions are precise and error-free. This, in turn, minimizes rejections and delays. A proactive approach with regular monitoring and timely follow-ups keeps credentials up-to-date, preventing costly deactivations that can lead to denied claims and lost revenue. Mandy concurs. “OP Credentialing has streamlined our workflow. They’ve been very hands-on and knowledgeable, providing step-by-step detail, and always letting us know where they are in the credentialing process. And it’s just been wonderful. I don’t know why we didn’t do this sooner.”
With OP’s Credentialing and Enrollment Services, practices like Hometown Pediatrics of Joplin can relax, knowing their credentialing and enrollments are handled accurately from start to finish. We do this by eliminating administrative headaches, keeping revenue flowing, and allowing pediatric practices to prioritize what matters most. And really, who doesn’t want more time back in their day?
