Contract Negotiating and Credentialing
Contact Insurance Companies
U. S. Billing and Contracting L.L.C. has contacts with many insurance companies both large and small. We notify the selected health care payors of the provider’s interest in their network or program. We request the appropriate applications from the payor. Our next step requires the completion of applications with supporting documentation.
Complete Application and Credentialing
USB&C will send you a "Data Request Form" that lists information that we need for each client in order to begin the credentialing process. We use this tool to help us submit information to contracted insurance companies on a timely basis.
USB&C
has a unique “Payor Information Report” that updates clients on the status
of each prospective contract. The form is an excellent way of communicating
with your facility or service so you will know what
information is needed for each particular application and contract.
USB&C
has extensive experience in negotiating the various types of contracts
offered by insurance companies. Reimbursement rates are a priority with us
when negotiating a Managed Care Agreement. We work with clients to determine
appropriate reimbursement rates for services (including carve outs and
implants). Our primary focus is to create contract language that will help
insure correct reimbursements for all procedures performed by the physician
and/or facility.
After the contracts have
been successfully negotiated and signed,
USB&C will
send a copy of all executed contracts to the participating provider for
their files and reference.
Insurance companies usually recredential every two years. USB&C has developed an extensive database that will ensure that all forms and licenses are current.
Managed Care Client Relations
USB&C works with our clients to promote profitability. We strive to fulfill the particular needs of each and every client. At USB&C your success is our goal.
Contract Review
Managed Care contracts that were profitable two years ago may not
be viable today. Rising personnel and supply costs cut into profit margins
that have become increasingly smaller as reimbursement rates shrink.
USB&C has designed a “Contract Review Matrix” that can be tailored to your particular needs. The information obtained from the matrix is used to highlight areas that need renegotiation. It can also be used to point out operational areas that need to increase efficiency.
If you have any
questions or comments please contact us. Our telephone number is
405-879-3383 or e-mail us at
marym@usbandc.com