Credentialing Services

The Solution:
NGA Healthcare partnered with the ENT group to expedite their credentialing process. Key actions included:

• Implementing a structured and efficient approach to manage the credentialing workflow.
• Coordinating with health plans to address bottlenecks and reduce delays.
• Providing ongoing support to ensure accurate and timely submission of required documentation.

The Results:
NGA Healthcare successfully reduced the credentialing timeline to just 6 months—a significant improvement over the group’s historical average of 8-12 months.

Financial Impact:
The practice realized an estimated $230,000 in additional revenue, generated 6 months earlier than their previous credentialing processes allowed.

Conclusion:
By optimizing the credentialing process, NGA Healthcare not only accelerated provider enrollment but also unlocked substantial financial benefits for the practice. This case demonstrates how efficient credentialing can drive revenue growth and operational success for healthcare organizations.

The Solution:
NGA Healthcare implemented a proactive credentialing strategy to address these challenges. Key actions included:

• Conducting regular audits of the provider list to ensure all 40 providers were enrolled and in-network with all applicable health plans.
• Collaborating closely with the practice to streamline enrollment processes and close any gaps in network participation.

The Results:
NGA Healthcare’s diligent efforts yielded transformative outcomes:

• Reduced the number of providers out of network to zero, eliminating enrollment-related issues.
• Decreased out-of-network denials, effectively recovering the $40,000 per month previously lost in accounts receivable.

Conclusion:
By partnering with NGA Healthcare, the practice not only enhanced its credentialing process but also achieved measurable financial improvements. This case highlights how proactive management and consistent auditing can eliminate inefficiencies and secure revenue stability for healthcare organizations.

The Solution:
NGA Healthcare stepped in to resolve the practice's credentialing issues. Key actions included:

• Conducting a comprehensive review of the credentialing process to identify and address inefficiencies.
• Implementing a structured and scalable system to handle credentialing needs across all 25 providers.
• Relieving internal staff of credentialing duties, allowing them to focus on other critical roles within the organization.

The Results:
Within three months, NGA Healthcare resolved all ongoing credentialing issues, delivering measurable benefits:

• Internal staff previously handling credentialing were reassigned, effectively saving the practice the equivalent of 1.5 full-time employees (FTEs).
• The practice reduced payroll expenses by approximately $9,000 per month in wages and benefits.
• Improved credentialing processes also contributed to increased revenue generation by ensuring providers were enrolled and in-network with all health plans.

Conclusion:
By partnering with NGA Healthcare, the dermatology group transformed its credentialing operations, achieving significant cost savings and enabling staff to focus on more strategic priorities. This case illustrates how expert credentialing support can enhance efficiency and profitability for healthcare practices.