Private Practice SLP supports SLPs as they take control of their private practice dreams
Private Practice SLP supports SLPs as they take control of their private practice dreams
Credentialing is kind of a misnomer, because true “credentialing” is the process that an insurance company or hospital goes through to verify and vet new providers.
The credentialing that I provide is to help you complete the process of applying to become a provider with the insurance company/-ies of your choice, from filling out the applications to setting up your provider portal with each company.
That’s a great question!
Most credentialing companies charge anywhere from $90- $150 per insurance company. For that price, they will complete the provider enrollment applications for you to be credentialed… and that’s it. They usually do not provide any support with what to do once you become a provider.
My credentialing support is holistic, in that I:
work with you to choose the best insurance companies with which to credential (and which ones to avoid!)
answer your questions about the credentialing process
help you make sure your CAQH profile is set up correctly
support you as you set up any provider portals and clearinghouses that the insurances require
walk you through the billing process for each insurance, either in your own EMR or in the insurances’ provider website (please note- this does not cover how to bill in general, like how to choose the correct CPT or ICD-10 code, or how to fill out a CMS-1500 form. If you are new to billing, add a video chat or two, or choose a Private Practice Support package)
Most of the length of the credentialing process comes from the insurance companies reviewing your application, and that can take anywhere from 30 days to 120 days (or longer, depending on the insurance company).
The average timeframe is 60-90 days per insurance company, from when the application is submitted to when you get a contract.
Nope, I also work with:
OTs
PTs
behavioral health therapists (LCSWs, LPCs, PsyDs)
My consulting sessions are open ended! You can ask me any question you have about private practice. The only topics on which I am not qualified to consult in detail are taxes and state business laws/employment laws. Those are the purview of a CPA and/or business/employment lawyer.
Some of the topics I have consulted with practice owners on are:
HIPAA compliance
paperwork flow audit- how to make the intake and documentation process smoother and more defensible
appropriate testing materials for specific target populations
business budgeting and how to use accounting software to keep you compliant for tax time
The best option for you depends on the level of support you need.
Video consults are individual video chats where I answer your questions. I send you a follow-up email with info from our chat (and a recording if desired), but video chats DO NOT include email support. They are best for simple questions like how to set up an NPI, which EMR would be the best for you, etc. If you think you will only need 1-2 video consults to answer your questions, they are the most economical option.
The Private Practice Support package is a higher level of support. It includes an initial 1 hour intro video chat, plus 6 additional 1-hour video chats. This package is best for those who need help with learning how to bill in general, want me to walk through their private practice setup, or just want more support as they start their practice.
I have owned my private practice since 2015 and still maintain a part-time caseload, so I know the latest info on most subjects to keep my own practice compliant and viable. I’ve also done extensive research on subjects from HIPAA compliance to tax deductions for my online course, guest blog posts and podcast episodes, and my many state- and national presentations.
When I was starting out, I found myself wanting another SLP to just ask questions to who didn’t cost an arm and a leg. I decided that every SLP who started a private practice didn’t need to reinvent the wheel for everything from how to bill to choosing an EMR, and I’d do what I could to save us all time and effort. That’s how my consulting practice as born and why it continues today.