Hometown Pediatrics Credentialing Success Story

This case study outlines the challenges faced by Hometown Pediatrics of Joplin regarding lengthy credentialing and enrollment processes for new providers, which previously took up to 180 days. The practice experienced significant revenue loss due to these delays, particularly with their major payer, Anthem Blue Cross Blue Shield. In search of a solution, the practice opted for OP’s Credentialing and Enrollment Services, which specializes in pediatric credentialing. The results were notable, with credentialing times reduced to 90 days, effectively cutting the turnaround time by 50%. The proactive approach of OP’s credentialing team, which includes meticulous attention to detail and regular monitoring, has streamlined the workflow for Hometown Pediatrics. This transition has not only accelerated the credentialing process but also ensured timely reimbursement for services rendered, allowing the practice to focus on patient care while maintaining a steady revenue flow.