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<title>How to Get Credentialed with Insurance Companies for Behavioral Health</title>
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<pubDate>Mon, 08 Jul 2024 15:37:09 +0000</pubDate>
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.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}</style> <p><span id="docs-internal-guid-66f6fc1e-7fff-5553-e5ca-829ef82262ab"><span style="font-size: 12pt; font-family: 'Times New Roman', serif; color: #000000; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; vertical-align: baseline; white-space-collapse: preserve;">Healthcare providers, including behavioral healthcare, are all too aware of the necessity of securing contracting with major insurers. Insurance credentialing is the bread and butter of the fiscal health of any healthcare provider. The process for a behavioral health provider to obtain insurance credentialing can be tedious and frustrating. To learn how to get credentialed with insurance companies, read on.</span></span></p> </div>
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.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}</style><h2 class="elementor-heading-title elementor-size-default">What is Insurance Credentialing?</h2> </div>
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<p><span style="font-weight: 400;">Creating a stream of revenue and patients for a mental health or substance recovery center depends almost entirely on insurance billings. To establish a working relationship with an insurance provider or network, a behavioral health practice must complete a credentialing process. This involves establishing procedures for billing third party networks for any services rendered.</span></p><p><span style="font-weight: 400;">Major insurance companies include Aetna, Cigna, Humana, United Healthcare, Blue Cross Blue Shield, <a href="https://sauragecollective.com/tricare-west-credentialing/">Tricare</a>, Medicare, and Medicaid.</span></p><p><span style="font-weight: 400;">Understanding how to get credentialed with insurance companies is a critical first step. The process entails two main components, credentialing and contracting. The credentialing aspect involves meeting certain requirements of the insurance company in order to be accepted into the network, During the contracting step, the terms of the claim reimbursements are negotiated.</span></p><h2>Why is Insurance Credentialing Important for Behavioral Health Providers?</h2><p>Most people rely on their health insurance coverage to pay for a substantial portion of health or behavioral healthcare services. For this reason, insurance credentialing is a critical component for any <a href="https://www.healthcareoptions.dhcs.ca.gov/en/find-provider" target="_blank" rel="noopener">healthcare provider</a> in creating a reliable revenue stream.</p><p>Once your <a href="https://www.caqh.org/blog/why-provider-credentialing-necessary-hassle-and-vital-safeguard" target="_blank" rel="noopener">behavioral health practice is vetted and credentialed</a>, you have the ability to bill the various insurance companies. Being included in an insurers in-network provider directory allows your practice to be discovered by a wide range of patients. This exposure to new patients is what helps your behavioral health center grow and prosper.</p><h2>How to Prepare for Credentialing</h2><p>Prior to embarking on the insurance credential process you will need to ensure that your ducks are in a row. It’s important to remember that credentialing is all about proving your company’s qualifications in order to be considered for the network. Before you fill out the first piece of paperwork, you will need to have established your practice by pulling together the following:</p><ul><li>Demographic information about your behavioral healthcare practice or center</li><li>Provider’s (doctors, therapists, clinicians) CVs, such as education, work history, professional references, and licenses.</li><li>Obtain a National Provider Identifier (NPI)</li><li>Obtain a tax identification number</li><li>Obtain liability and malpractice insurance</li><li>Complete the CAQH application</li></ul><h2>How to Get Insurance Credentialing for Behavioral Health</h2><p>When you begin the actual insurance <a href="https://sauragecollective.com/credentialing-specialist/" target="_blank" rel="noopener">credential process</a>, you should plan on it taking at least 90 days to complete, and sometimes much longer. It is a time consuming process and requires time and patience as you progress through the following steps:</p><ol><li><strong>Submit a letter of interest (LOI).</strong> Reach out to the various insurance companies to formally request consideration as an in-network provider by submitting a LOI.</li><li><strong>Submit requested documents.</strong> After the insurance company has accepted the LOI request, it will assign your practice or center a ticket number. The ticket will detail the specific documents needed to move forward in the credentialing process. These include state licenses and other credentials required to practice behavioral health services.</li><li><strong>Contract negotiations.</strong> Once the insurer has approved your application and reviewed the required documentation, it is time to begin contract negotiations. This critical step specifies the fee schedule for medical services rendered.</li><li><strong>Review final contract.</strong> After the contract has been agreed upon, the behavioral healthcare institution signs the payor agreement. This document provides important details, such as the date coverage is effective and agreed upon fee schedules.</li><li><strong>If you are rejected by an insurer, you can appeal the decision.</strong> If the appeal is denied, plan on reapplying every six months, as in-network providers do fluctuate.</li></ol><h2>Common Challenges of the Insurance Credentialing Process</h2><p>While it is possible to sail through the credentialing process, that is the exception more often than the rule. Here are some of the common issues that can pop up:</p><ul><li style="list-style-type: none;"><ul><li>The amount of time required for each insurer that you apply to can be cumbersome.</li><li>Your application is lost or returned for inaccuracies</li><li>Constant follow up is required</li><li>If the process is delayed, your practice is placed on hold</li></ul></li></ul><p>While joining an insurance panel can allow you to grow your practice, it’s important to know that panels have become highly competitive. Some panels are already saturated with behavioral health practitioners and simply aren’t accepting any new providers at a given time.</p><h2>Help for Credentialing with Insurance Networks</h2><p>As a behavioral healthcare provider learning how to get credentialed with insurance companies, you may decide to outsource this process. Partnering with a credentialing consultant can help you avoid pitfalls that may otherwise prevent you from operating your center.</p><p>A credentialing consultant has the specific expertise needed to navigate the insurance credentialing process successfully. Not only can a professional consultant take the burden of credentialing off your shoulders, but they can also help you negotiate a higher paying fee schedule. Although there is some upfront expense involved for this service, the higher fee rate will offset the expense in the future.</p><h2>Saurage Collective Connects You with an Insurance Credentialing Specialist</h2><p>Saurage Collective is a team of credentialing specialists that provide the expertise and resources to assist you in navigating insurance credentialing. If you are seeking information about how to get credentialed with insurance companies, we can help. In addition to credentialing, our team can help you negotiate the most favorable fee schedule contract. Our comprehensive suite of credentialing services can expedite and simplify the process for you. Call us today at <a href="http://tel:888-818-3044" target="_blank" rel="noopener">(888) 818-3044</a>.</p> </div>
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<title>Saurage Collective’s Story</title>
<link>https://sauragecollective.com/saurage-collectives-story/</link>
<dc:creator><![CDATA[sauragecollective]]></dc:creator>
<pubDate>Fri, 22 Sep 2023 04:18:03 +0000</pubDate>
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<description><![CDATA[Saurage Collective's Story]]></description>
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hi my name is Cade Sarge and I have been in healthc care for the last 20 years um went into Healthcare right out of college worked on the medical side and then uh a few years later I ended up uh switching over to behavioral health which I’ve spent about the past 16 years in um I have made every mistake there is to make in Behavioral Health and uh Treatment Center program and Hospital management I’ve run every Department uh that you can that each facility has I’ve uh I’ve had wonderful people that worked underneath me and I have led some of them wonderfully and and made mistakes with some of them as well but one thing that I have uh that I take most pride in is the relationships I’ve been able to create and nurture and secure and sustain with insurance companies insurance company Executives representatives and claims and Collections and billing and Contracting I have literally spent 20 years focusing on building a book of business complete with insurance Executives who make decisions at the insurance companies when a entity controls 70 80 and 90% of the revenue that comes into a program essentially being its Lifeline it would only make sense to create the most solid uh relationship and and mutually beneficial relationship that you can possibly create with that entity and so I I learned that early on um I began to refuse to talk on the phone uh to to the different uh insurance company contacts that I was uh speaking with and and insisted on meeting them face to face uh some accommodated that request and it led to a very fruitful relationship on both sides um initially when I got into the space I thought that uh what my calling was is to protect and and support and and really take care of give a voice to all of the patients that were uh struggling with behavioral health issues and so I took it on uh a very personal level and and really began to to have a confrontational relationship with insurance company Executives and and while I had a couple of Victories here and there ultimately I I did not succeed and I was not getting anywhere um and so I switched gears and and uh and and and then decided that if uh if I could get support financial support to go out and visit these insurance companies uh and and meet them face to face I figured the relationship would grow from there and sure enough it did and uh what happened after that was nothing short of a miracle um the individuals that I met fa to face began to call me by my first name on a regular basis and and began to answer my phone calls and emails and and and so it was a lot difficult a lot diff uh a lot more difficult for these same individuals to say no to someone over the phone that they didn’t know um and the success was real the uh the the the support for the patience that I was representing got better uh the length of stay got better obviously the the the reimbursement got better but this was not about money it was trying to figure out you know how to work with insurance companies and and you know bottom line is we had the same goals um you know we wanted the patients to get better we wanted them to to uh to start a new life and and and you know get healthy and and fix the relationships and and go on to live you know Wonderful lives we all wanted the same thing difference was is we wanted more time to do it uh to help them and then the insurance companies wanted us to do it in a shorter time um I remember early on in my career I I’d been promoted up to uh to uh the corporate level for uh for a company I was working for after the successes I had and and I remember sitting in this boardroom and and my nerves were were were there because I was still the new guy and and while I had had some success I was still trying to prove myself to a group of people who had uh who had already been in this space for quite some time and and uh and they knew what they were talking about but I remember speaking with this lady that had just come on board with the company and she was a former executive of an insurance company and I remember finally speaking up in this uh in this meeting and I said you know uh insurance companies they used to you know years ago when manage care began insurance companies were supporting patients who struggle with Behavioral Health mental health psychiatric issues uh giving them 6 months then it was down to 90 days and and then it worked itself down to 45 days then 30 days and now where we at we’re uh we’re we’re week to week we’re day to day with some of the payers trying to you know trying to trying to convince them that the that these patients need to stay in treatment and it’s become somewhat of a battle and it’s just wild to me that it went from 6 months all the way down to uh to to 30 days and then 15 you know in 10 days and and the lady that worked at uh insurance company who had left her executive uh Kush job to come and and work on the other side on the provider side looked me dead Square in the eyes and she said that’s because we knew exactly what we were doing and uh and that stuck with me because what I took from that was an implication that we didn’t uh that the insurance companies had their had their game together had their stuff together and we didn’t uh we are Infamous in this space for not working together working as one now there are great organizations that have tried to remedy that uh but the bottom line is we have not worked well with one another and so I have uh I have I have made a lot of people a lot of money um I’ve worked for companies that were amazing and I’ve worked for companies that were not amazing and I made them both a ton of money and I did that through the relationships I had created with the insurance companies um there’s nothing wrong with making money in this space right but uh the problem for me is when you get into the space only to make money and you forget about the uh the mission and for me I I have to remind myself you know that that I am still on a mission um at some point in the near future I’m going to have an opportunity to run to have my own program um um I feel like I have uh I have worked long and hard enough to figure out what I’m am good at and what I’m not good at and there is plenty I’m not good at but the good thing is there are people that work uh in the space that are great at those things and so I have every intention of hiring them but one thing I will bring to my program and the one thing that I will help any programs out there and that is to get a seat at the table that is it get a seat at the table uh insurance companies want to work with us all right but they won’t be bullied they won’t be threatened with lawsuit they won’t be they won’t be manhandled they won’t be lied to uh they won’t be cheated um but they will work with you most of them and uh good thing is is I have the list of the ones that will Coast to Coast I’ve spent my career building this list and working from this list and refining this list and and uh and and I want to share the list I I want to share what I know I I I W The Faculty for uh for natap and and you know conferencing and to speak and talk about Managed Care Partnerships I’ve had an opportunity to do that several times and and each time is a blessing on my part cuz cuz the faces light up and the people line up to ask me questions afterwards and and you know bottom line is uh you know we can hate insurance companies all we want it gets us nowhere um you know my uh my grandma used to sing a song to me and it went Sai and I went to the circus we got hit with the rolling pin and we got even with that circus we bought tickets and didn’t go in all right and I always L that song I never knew what it meant until I got older and I could process bottom line is like we can hate and we can blame and point the finger we can hire a lawyer and and they can represent us and you know but but life’s about relationships everything is relationships relationship ships in business matter and relationships with insurance companies matter and a relationship with the person or the enti or the organization that controls 90% of our Revenue that relationship matters a relationship without communication is doomed to fail I mean heck I told that to young couples struggling in their marriage to to uh to young men in recovery who are having a tough time plugging into to the fellowship I’ve I’ve told that to many people to my own kids to myself I have to remind myself that same thing but in business it is key relationships without communication are doomed to fail and uh and negative relationships get you nowhere hate all you want blame all you want complain all you want but insurance companies are uh are here to to uh to make money certainly of course they are um but they’re people that work at the insurance company that want to improve they want to improve systems they want to improve relationships they want to improve processes and they want to work with good providers and so uh so that is what I’ve tried to align myself with like-minded uh programs and some amazing programs out there and I have no problem going to bat for them I have no problem getting them at a seat at the table uh we got to level this playing field bottom line level this playing field and I have strategies to do that they are proven in the space and I want to share those with ethical groups out there interested and doing the right thing bottom </div>
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<title>Why Has Saurage Collective Been Successful</title>
<link>https://sauragecollective.com/why-has-saurage-collective-been-successful/</link>
<dc:creator><![CDATA[sauragecollective]]></dc:creator>
<pubDate>Fri, 22 Sep 2023 04:13:55 +0000</pubDate>
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Collective had the success that we’ve had uh what I feel that Sarge Collective has done uh better than than most people that have attempted it is we have created an environment where a provider who has a service but doesn’t necessarily understand the verbiage doesn’t necessarily understand the process can come to us and we can lay out exactly what they’re going to need in order to take this next step now what we are aware of is we follow very closely the regulations we follow what accreditation looks like what compliance looks like and all the data that supports that but we also provide an opportunity for providers to ask questions this is your organization all right and this is our area of expertise so if you want a seat at the table and you want to have those tough conversations those those conversations that matter to the insurance companies what are insurance companies looking for what do they want in a provider um you know what are they what are they going to change tomorrow that is it going to affect you a year from now right and so what we do at Sarge Collective is we are the middleman but we are also representing an approach that sets everyone up for Success you know we want the providers to know the insurance company policy we we want them to understand the procedure we want them to understand the metrics we want some to understand what barriers exist we want everybody to to come together and and have those Collective conversations to where the patient the patient is the one that succeeds data exists to drive the bus we can all come up with opinions and hypotheses and theories and proposals and projections but if the the data is not there and and the understanding by by both parties exactly what we’re facing then really nothing else matters and so here at Sarge Collective you know we want to we want to bring both sides together um that is what we specialize in we specialize in in in answering the tough questions and making sure that both sides of the table understand that those answers must match up with the target goals and uh and so that’s what we’re going to try to bring to the table so we want you to give us a call we want you to ask those tough questions we want to tell you what barriers are going to exist we want to tell you what we believe is going to take place a year from now three years from now and 10 years from now and and we base all those answers on on study we base all those answers on on meetings and and collaborative uh talks and and conference calls and board table meetings where we’re providers good providers healthy providers sophisticated providers Sid as well and so uh we want everybody we want everybody at that table to be on the same page a playing field exists right it exists it exists between the good guys and and we want to make sure that here at Sarge Collective that that we bring that table together that we bring those talks together that that there is understanding at the end and uh so that’s what we’re going to do so give us a call and let’s help you figure that out let’s let’s help you answer those tough questions and and let’s help you figure out what to ask we know what you should ask insurance companies we do um and we’re going to tell you insurance companies are they’re going to come back with with with tough problems uh tough challenges and and things that we’re going to have to all overcome together and so um I believe that that if we if we can sit down together and we can hash that out together then we can all come up with a goal um and then we can Target that goal together </div>
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<dc:creator><![CDATA[sauragecollective]]></dc:creator>
<pubDate>Fri, 22 Sep 2023 03:46:09 +0000</pubDate>
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<p>What is our process so our process? It really depends on the need of the client um you know we need to find out if uh if the organization that we’re going to be representing has data in place there are so many questions that have to be answered we have the answers and and and most certainly the client has the questions and so our process is essentially to connect with the representative at the organization and we’re going to find out you know find out exactly what the target goals are is uh is credentialing uh the the primary need is Contracting the primary need is is a payer mix evaluation finding out who you should go and network with who you should contract with what sort of preferred provider Partnerships are out there and available so there are so many different needs that each organization uh is going to to have and so we try to assess those on the front end um more often than not you know the the client is uh is going to not even realize uh how many more opportunities exist out there with the insurance companies and with these contracts and so we try to answer those as best we can uh we give all of the information that we have we hide nothing we we present everything to to each client to every organization that we work with and uh from there it’s just basically you know piecing together a plan putting together a plan uh as a collective your organization your doctors your your clinicians um you know everything that you bring to the table see we know that that you are a good provider uh now getting reimbursement for the services that you are providing that’s the tricky part um and so so that is essentially the process you know we want you to give us a call we want you to give us a call so that we can set up a meeting set up a uh something online something virtual and and then let us assess what you need and uh and and give you the answers that you’re you’re after and come up with a plan together so uh call us now uh you know submit the information online so that we can you know put together a a meeting and and we’ll go from there</p> </div>
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<title>Tips To Help With The Credentialing Process</title>
<link>https://sauragecollective.com/tips-to-help-with-the-credentialing-process/</link>
<dc:creator><![CDATA[sauragecollective]]></dc:creator>
<pubDate>Fri, 22 Sep 2023 03:46:09 +0000</pubDate>
<category><![CDATA[Uncategorized]]></category>
<guid isPermaLink="false">https://sauragecollective.com/?p=3035</guid>
<description><![CDATA[Tips To Help With The Credentialing Process ]]></description>
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Tips to help with credentialing process. credentialing is essentially assessing the academic qualifications uh through uh licensure through accreditation it’s it’s looking at the professionals that work for an organization and then and looking at the clinical practice history of that organization and so it’s a complex uh it’s a complex approval process there’s no other way to say it and so tips are to use a specialist use someone that that knows what they’re doing so what we provide is is that knowledge and we provide that information we provide the experience insurance companies are filled with Representatives that are collecting information and deciding making a decision if they want to add any organization uh to the network and so what we have done is is simplified the process in that we’re going to tell you exactly what you need we are going to give you a checklist and then you are going to provide that information to us and then we are going to submit it and when it’s submitted it needs to be clean all right so nothing is more frustrating for insurance company to receive a credentialing packet and there to be mistakes there to be errors mistakes and errors mean delay and if you have time restraints or some urgency behind what you’re doing here you want to make sure that that pack is submitted is clean and so that’s what we’re going to do for you the tips are uh to to follow that checklist to a t if there’s something missing let us help you figure it out if there if there is a a certain document that you’re providing and the document is is incomplete or needs to be a little bit more thorough needs to be a little bit more detailed you know those are the things that we can help you with so we want to make sure whatever you’re presenting to the insurance company for the credentialing part of the process that that it represents you as as someone sophisticated uh as an organization that is uh you know is prepared and organized and and detailed in everything that they do because that is who the insurance company wants to add to the network right so mistakes mean mean delays and we don’t want delays uh you know having your your credentialing packet put on a shelf or added to a stack of of possible consideration that’s not what we want we want the credentialing packet to go through we want to go through perfectly the first time and we will make sure that it goes through perfectly the first time and so give us a call let’s figure it out let us show you what you need and uh and we’ll get that we’ll get that done and we’ll get it submitted and it will be clean </div>
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<media:title type="plain">What Is Saurage Collective</media:title>
<media:description type="html"><![CDATA[http://sauragecollective.com/about-saurage-collective/Find out what Saurage Collective is and why our services are essential for medical credentialing in th...]]></media:description>
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<title>How Long Does Credentialing Take</title>
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<dc:creator><![CDATA[sauragecollective]]></dc:creator>
<pubDate>Fri, 22 Sep 2023 03:46:09 +0000</pubDate>
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<description><![CDATA[How Long Does Credentialing Take]]></description>
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How long does credentialing take? that is the billion dollar question I can’t tell you how many times I’ve been asked that question uh by president or or CEO of an organization uh because we all like to know how long it’s going to take and it’s a bit of a loaded question and the answer not exact as you POS possibly would like but the bottom line is this the the credentialing process takes as long as the insurance companies want it to um you know it really depends on what deliverables that the insurance Representatives on the front line have and if they have 10 deliverables that are more important than adding another organization to the network then typically you can get delayed um you know when I first started this uh credentialing and and Contracting you know nearly 20 years ago the process was quick it was you know it was 90 days sometimes we get it in 60 days from start to execution and unfortunately that’s just not the case anymore um we have providers nationally we have saturated markets we have different specialty and niches to continue to try and present to insurance companies so there are a lot of there are a lot of restrictions now in place for for good reason uh and so we have to kind of navigate those uh those restrictions we have to we have to you know meet with the insurance companies that you know when they’re available and we try to do our our best to speed up the process here’s what I can tell you that that we at Sarge Collective will help you speed it up that’s the best I can tell you so we typically Target about a six-month uh process if we come in under six months then we are happy if there’s a consultant out there that’s telling you that they can do it quicker than that um you know I’ll just say that uh that maybe their crystal ball is a little bit better than mine but I will tell you that we will get it done uh quickly we will get it done more quick than you can get it done for yourself um you know we have a different an insurance company you know Executives and and representatives that we are connected with and you know Folks at the insurance companies that we’ve been working with for a very long time and so sometimes when there is a delay we have phone calls that we can make we have emails that we can send we have visits that we can make and so uh so there are ways to speed it up um you know again we don’t ever want uh a credentialing or or Contracting uh procedure to take you know beyond 12 months uh it’s unacceptable for us if that’s ever the case and so as we near six months if we’re not uh if we’re not looking good if we haven’t had you know rates established credentialing approved contract pending accreditation pending whatever the case may be uh then then we’re back to the drawing board ourselves to figure it out so so that’s what we’re going to do we’re gonna we’re gonna meet with you we’re gonna keep you updated every step of the way you get a very detailed report if we hear back from the insurance companies you will uh if there’s progress made you will know if there’s a barrier you’ll know that too if there is a a mistake a challenge a correction anything that’s uh that’s adjusted on the insurance side we’re going to make sure that you know that too in real time so that’s what we can offer you uh and uh so give us a call and you know and let’s try to figure that out uh let’s uh let’s talk about what the process potentially looks like we do know which areas uh Coast to Coast are going to move a little bit faster there are uh you know some different regions around the country that are less saturated than others we know based on the insurance company relationships that we have which is a a very large book of business we know what what regions are um are deficient uh or in need of certain Specialties uh certain you know organizations will make adjustments and try to fill those needs you know wherever possible and so so that’s what we’ll do we’ll bring you we’ll bring you the information Nation you need to make a good educated decision as an organization we will help you with that and and that’s what we take pride in we take pride in helping the the little guy the big guy we we take pride in helping you know good providers good solid providers those that are those that are that are aligned philosophically in doing the right thing you know that’s what we try to identify and create on the front end and and once we uh can create that partnership between us between Sarge Collective and the organization from there it’s uh you know from there it’s uh it’s it’s smooth sailing um you know for the most part it’s smooth sailing uh and when it’s not uh we’ll make sure to adjust the sales so give us a call and uh and let’s do business </div>
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<title>What Is Credentialing</title>
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<dc:creator><![CDATA[sauragecollective]]></dc:creator>
<pubDate>Fri, 22 Sep 2023 03:46:09 +0000</pubDate>
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What is credentialing? Essentially the definition of credentialing is assessing the academic qualifications and practice history of an individual or a group in the healthcare setting that’s the definition but credentialing is so much more there is licensure to consider certification to consider accreditation to consider and so every time a provider of any Services wants to join a network they have to go through a credentialing process and it can be a lot it can be it can be overwhelming the the checklist that exists that’s just one part of the process you can pull a checklist off the internet or or you could pull a checklist off of another provider that’s been through the process and then you can completely botch the credentialing process and as I had mentioned many many times if what you are submitting to the the insurance company is not perfect then you’re going to have delays insurance companies now if you make a mistake on the front end they will they will deny you access and then they will only allow you to reapply 12 months later that’s the last thing that you want and so the credentialing part of of the partnership credentialing part of the process it’s one of the most important pieces right it sets you up it it shows the insurance company who you are and what you are and what you bring to the table and what services you specialize in and it shows them what your doctors look like what your clinicians look like you know what Specialties they have and and so uh this uh this information is important and it is it is basically the the face of your program presented to the insurance company for the very first time and we all know what uh what what First Impressions uh you know are and how important they are and so here at Sarge Collective have you know we’ve mastered the process we have application Specialists that have been doing this their entire professional career they work very closely with insurance company representatives and and they know what the credentialing process is going to take they know how to submit everything cleanly they know how to streamline it and they make make sure that that you uh that that you are you are shining in the eyes of the insurance company on that very first step so give us a call and let us help you let us help you put that together let us uh let us guide you because that guidance can can mean the difference of joining the network or not </div>
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<pubDate>Fri, 22 Sep 2023 03:46:08 +0000</pubDate>
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What are saurage collectives core value. Collective’s core values uh hey look we’re relationships we’re all about relationships so so honesty Integrity accountability dependability commitment like all of those things are absolutely going to ring true uh in our house but everything that we do is based on relationships so we have relationships that you need and those relationships don’t exist if we break our word so you’re an organization and and and you need someone to represent you um and and that is what we’re going to do but but we’re going to make sure that we are like-minded as well we want the providers that we represent um to have some of the same values that we have uh you know and and I do not want to bring an organization uh to network uh that is not going to to share that that commitment of Integrity um I mean you know as cliche as that may sound to some it’s important to me I’ve been bringing people to network you know for for years and and I stand behind those that I’ve put in network I really I really do and so uh it’s relationships I’d say it all comes down to relationships we have relationships that are important we have relationships with insurance companies and doctors and clinicians and presidents and CEOs and uh and Equity groups and Venture capitalists and we have relationships that matter we have relationships with individual therapists individual psychiatrists we have relationships coast to coast and all of those depend on Integrity all of those depend on saying what you mean meaning what you say and following through it’s uh it’s it’s the it’s the good old-fashioned salesmanship uh that that existed long before I came on this world and and will exist long after I’m gone but a Sarge Collective you can take what we say to the bank if we tell you something is going to happen it’s going to happen we will not over promise we will not under deliver we will shoot straight with you and we will come through give me a call and let me prove that to you </div>
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<title>What Is Contracting</title>
<link>https://sauragecollective.com/what-is-contracting/</link>
<dc:creator><![CDATA[sauragecollective]]></dc:creator>
<pubDate>Fri, 22 Sep 2023 03:46:08 +0000</pubDate>
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<description><![CDATA[ What Is Contracting]]></description>
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What Is Contracting. What is Contracting Contracting is everything Contracting is the reason that 98 of the clients that contact us contact us uh Contracting is the second part of the process so we’ve talked in in previous addresses about the credentialing process so once you get the credentialing complete that means that you’re you’re your providers are approved your accreditation is approved your certification and compliance records are approved and now it’s the contract right so now it is okay so what does this contract look like um they know they want the provider the provider knows that they want them and so now we have to figure it out financially right and and so this is where it gets tough and this is probably what Sarge Collective brings to the table stronger than anyone all right it’s it’s data so you can make an educated proposal it’s data so you know if you’re being lowballed what we have at Sarge Collective is we have Specialists that have been doing this their entire professional career I have no negotiated hundreds and hundreds of contracts and I am proud of what I’ve been able to to to provide and if the provider is a strong provider if it is a a healthy organization that does great care it deserves to be reimbursed fairly and so often the Contracting part of the process will have rate negotiations and those rate negotiations are typically only allowed for large organizations so you know if I am a large organization if I have thousands of beds well the insurance company obviously may be a little bit more interested in me for that purpose and so they may be a little bit more willing to to negotiate um but what about the small guy what about the uh what about the small 20 bed 50 bed 100 bed 200 bed uh program you know they deserve Fair reimbursement as well and so uh so that’s what we do we’re going to help you get the right rate we’re going to help you get a fair rate here recently we we’ve had to deal with some some Rising costs cost of doing business you know we all watch grocery costs go up we we understand inflation is real and insurance companies I assure you know that inflation is real they’ve done more studies than anybody else and so uh so what we’re going to do is we’re going to help you contract we’re going to help you finish up that last part of the process and we’re going to help you secure rates that are fair rates that set your organization up for success and really that’s that’s that’s that’s how it should be um you know a providing Health Care is is expensive um you know helping these patients and any complex or otherwise you know return to um to Healthy Living I mean that’s not an inexpensive task and and so that contract is important um you know typically the contract will go for one year two year up to three years beyond that uh Sarge Collective will represent you each year to make sure that you’re getting a a rate enhancement annually you know often insurance companies do want to try to lock you into something for three years well if we all know uh right now as a global Collective what can happen one year two year and three years later can change overnight and and it can change big and so we don’t know what services are going to cost at the end of this year much less two years from now and so so a Sarge Collective you know we’re going to take you from start to finish and and that finish may be indefinite we we will take you all the way uh to wherever you want to be to uh to wherever you’re going to whatever your target goals as an organization are we want to help you um the reimbursement of Revenue reimbursement and and Contracting and credentialing and ongoing rate negotiations it it’s it’s it’s overwhelming for organizations quite often and and so we want to be the experts we want to be the experts for you we want to be the experts for you on day one day two and and we want to take you all the way through as far as you need to go so um give us a call and let us talk to you about Contracting let us talk to you about rates you want to know what rates are in your area I know what they are our team knows what they are and you deserve to know too we want to level the playing field for you and that is a guarantee at Sarge collect is something that we will do for you so give us a call and let’s figure it out together thanks thank you </div>
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<title>What Are Preferred Partnerships</title>
<link>https://sauragecollective.com/what-are-preferred-partnerships/</link>
<dc:creator><![CDATA[sauragecollective]]></dc:creator>
<pubDate>Fri, 22 Sep 2023 03:46:08 +0000</pubDate>
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<description><![CDATA[What Are Preferred Partnerships]]></description>
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What Are Preferred Partnerships? Partnerships uh okay so I’m an organization and and I have just joined the network I have I have just joined an insurance company right A insurance company uh all insurance companies at this point have established metrics all right and those metrics can uh basically consist of um length of stay and and collaboration with other providers and appeals process uh different metrics that essentially establish outcomes you know how how often are patients having to come back for more services because they did not get what they were after that first time so these metrics are a mile long and insurance companies keep data like you would not believe and so a preferred provider is someone an insurance company wants to take an agreement with and take it up right and so as an organization we all want to be preferred providers we uh you know as an individual therapist as a doctor as uh you know a clinician as a psychiatrist as a hospital you know we all want to be preferred providers we want the insurance companies to to want to refer to us you know we want um we want the insurance companies to prefer us over other providers and those Partnerships exist here at Sarge collectives we know exactly what those metrics are so from the beginning of our relationship we can make sure that you are beginning to meet those metrics from start to finish so that you know typically after 12 months in network 12 months under the contract um that’s often when you could qualify for for consideration of preferred provider you already have the metrics done and we know what they are and so we set you up for uh success from the very beginning and preferred provider can mean all the difference uh all the difference in the Streamline of the care all the difference and and obviously the financial piece there are there are incentives reimbursement incentives for preferred providers on a metrics and and and we know what those look like so I have personally negotiated uh a hundred plus uh preferred provider Arrangements specialty contracts alternative payment method agreement and so I know exactly what they look like from New York City all the way across the country and and so regardless of where you are there is a partnership that exists you just need to know how to access it so give us a call let’s set up a meeting and let me tell you what those metrics look like let me tell you how to get a preferred provider agreement that is exactly what the long game is </div>
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