Enrollment means participation. Not everyone who wants to participate can. Mistakes in enrollment cause costly delays and denial. In some cases, mistakes mean you cannot participate for years.
Medicare requires enrollment. Medicaid and Medi-Cal require it. We know about all kinds of enrollment. We help you update required disclosures, credentialing in managed care plans, contracting with health insurance plans, and with revalidation and requests to update participation information.
We have successfully enrolled all types of businesses and providers. Whether you are new or changing your enrollment, we can help. Our team handles thousands of filings each year. We use PAVE, PECOS and manual systems to link your information with programs that need to verify that you are eligible to participate.
If you applied on your own and have been denied, we can sometimes help you challenge the denial.
If you are unsure how participation or a decision not to participate can impact your business or practice, we can help explain.
If you are buying or selling an enrolled business, we can help you understand what enrollment filings will be required.
We can explain what you need for onsite visits and inspections. We can help answer questions raised at these visits.
We can help you enroll with:
Children’s Health & Disability Prevention Program (CHDP)
Every Woman Counts / Breast Cancer Early Detection Program
Presumptive Eligibility (PE)
Vaccines for Children
Shared Savings Programs for Accountable Care Organizations
We have successfully enrolled:
Clinical laboratories (CLIA-certified and CAP accredited)
Non-emergency Transportation Providers
Home Health Agencies
Risk bearing organizations (RBOs)
Independent physician/practice associations (IPAs)
Federally qualified health centers (FQHCs)
Durable medical equipment providers (DME)
Prosthetic and orthotic providers
Behavioral and mental health providers
Nurses, nurse practitioners, birth centers & nurse midwives
Ambulatory surgical centers