Full-Service ABA Credentialing Services

Full-Service ABA Credentialing Services

Struggling with lengthy and confusing forms?

ABA credentialing and contracting is a crucial and intricate process that requires meticulous attention and ongoing management. Given its potential to be time-consuming, it's essential to approach it with precision and vigilance to ensure its successful completion.

That's where we come in with our comprehensive ABA credentialing services, ensuring you become an in-network provider with leading national and state health insurance funders.

New to ABA Credentialing? Check out our article on "What is ABA Credentialing."

woman needing aba credentialing services

ABA Contracting and ABA Credentialing Services

Expedite Your Journey to In-Network Status

In the complex world of healthcare, becoming an in-network behavioral health provider with top-tier national and state health insurance organizations is a crucial step for any ABA clinic. Our contracting and credentialing service is designed to expedite this process, offering you a pathway to enhanced visibility and increased patient trust.

The contracting services are designed to streamline the process of establishing robust agreements between healthcare providers and payers, ensuring seamless operations and optimal financial outcomes.

Efficient and Comprehensive ABA Credentialing Process

Advocate's service begins with a thorough understanding of your unique needs and circumstances. We meticulously manage every aspect of the ABA credentialing process, from initial application submission to the final approval. We strive to stay abreast of the ever-evolving requirements of insurance funders, ensuring that your application is compliant and complete. This attention to detail not only speeds up the process but also significantly reduces the likelihood of delays due to incomplete or incorrect information.

"Let's navigate the complex contracting and credentialing maze together to open doors to new opportunities and growth for your clinic!"

Ongoing Support and Maintenance

ABA credentialing is not a one-time event, but an ongoing journey. As your partner, we provide continuous monitoring and management of your credentials. Our service includes regular updates, re-credentialing, and compliance checks, ensuring that your status as an in-network provider remains in good standing.

Tap Into Our Years of Experience

We bring:

  • Expertise: Years of experience in handling contracts and credentialing across various insurance payers.
  • Customization: Tailored strategies that meet your unique needs.
  • Efficiency: Streamlined processes that reduce time-to-contract and improve operational workflows.
  • Support: Ongoing support and advice to adapt to the ever-evolving healthcare landscape.

With us you gain more than a service provider; you gain a true advocate committed to enhancing your financial health and operational efficiency. This allows you to focus on what you do best – providing exceptional care to the children and families you serve!

Let's to serve the greater good.

Don't try to navigate the complexities of ever-changing insurance policies and regulations by yourself. We’re here to advocate on your behalf.

What is Contracting?

Contracting refers to the process by which a healthcare provider enters into a formal agreement with a payer, such as an insurance company or a government payer like Medicare or Medicaid. This agreement outlines the terms under which the provider will deliver services and be reimbursed.

It includes negotiating rates for services, agreeing on payment terms, and understanding the rules and regulations governing the relationship between the provider and the payer.

The primary purpose of contracting is to establish a financial and operational relationship between the provider and the payer.

Successful contracting results in the provider being included in the payer's network, often listed as an "in-network" provider for patients who have insurance plans with that payer.

What is Credentialing?

Credentialing is the process of verifying the qualifications, experience, and professional standing of a healthcare provider. It is a crucial step to ensure that the provider meets the necessary standards to deliver quality care.

This process involves checking the provider’s educational background, residency, licenses, certifications, and any history of malpractice or disciplinary actions.

The goal of credentialing is to ensure patient safety and compliance with healthcare standards. It's a way for payers and healthcare facilities to confirm that a provider is qualified and competent to provide care.

Credentialing does not guarantee reimbursement; it simply allows the provider to begin the process of contracting and billing.

Often, credentialing precedes contracting. A provider must usually be credentialed before they can enter into a contract with a payer.