Athena Customer offer

Exclusive savings

We are discounting our most common credentialing services for any new client of athenahealth. This is not contingent upon the lead originating from PPS. Our goal is to do our part to ensure the success of every new practice.

nationwide Credentialing Services

Our credentialing services are used by 1000s of providers every year. Clients we serve include: large group practices, hospitals, universities, treatment facilities, therapists, urgent care centers, nurse practitioner clinics, telemedicine organizations and every type of physician owned clinic.

Time is money

Get your practice started faster with our team of experienced professionals. Every day you’re not accepting insurance is another day of lost revenue. Very few payers allow retroactive billing and OON billing is one of the worst things a new practice can do.

We stand behind our work

We still have an A+ rating on the BBB and a 5 star rating on Google because we stand behind our work. We can’t guarantee satisfaction with results (because some providers think we own the insurance companies) but we can guarantee satisfaction with our effort and expertise.

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New practice Credentialing Services

15% discount on our new practice start-up package for any new client of athenahealth.

Experienced account manager assigned to your practice who will be available via phone or email and will provide regular updates.
Updating CAQH IDs for each provider to reflect the new group info.
Obtain Type II NPI for Group. Ensure this new NPI is configured for claims submission under the new organization.
Complete the application processing, insurance enrollment and contracting for the organization and its employed providers. A typical start-up will have 15-20 insurance plans including Medicare. We recommend accepting Medicaid for any physician taking call at the hospital.
Follow up with insurance carriers until we receive confirmation of participation
Appeal any panel closures
Provide regular updates to client in their HIPAA compliant cloud collaboration folder
Work with Athena’s implementation team to ensure they have everything needed to submit claims

Credentialing Maintenance Service- Est. Practices

50% off implementation fee and 10% off monthly per provider fee.

Dedicated Account Manager experienced in the client’s state
Work with your organization to refine internal processes to enable an efficient payer enrollment process. Provider file maintenance including license, DEA and malpractice expiration management
Status Updates on all current and newly hired providers. The status update includes a participation grid for each carrier along with their effective date.
CAQH Maintenance & Attestation for all employed providers.
Medicare/Medicaid revalidations for group and individual providers
Secure collaboration system & cloud credentialing program for all documents and applications
Review credentialing denials report provided by billing staff to ensure any issues are resolved
Handle all recredentialing and maintenance issues with commercial and government payers
Discounted new provider enrollment fee
Electronic signature system integration

Frequently Asked Questions

When will you start on my project? We will start on your project within 1-2 business day(s) of receiving the submitted proposal and credentialing information.
Am I assigned a dedicated account manager? Yes, all of our clients receive an account manager. There are also multiple account supervisors depending on the project but always one director who can jump in wherever needed.
How long does it take? It typically takes 120-150 days to fully set-up a new provider/practice with the different insurance panels. There are times when this process can be reduced and other times that it takes longer. Medicare is typically done within 45 days.
What if you do not get me in network with one of the payers? We can work through the payer’s appeal process or replace this payer with another option.
Can I hold claims and bill once approved? Some payers allow you to do this (primarily Medicare & Medicaid) but most commercial insurance companies do not allow retroactive billing. You can bill as an out-of-network provider while in credentialing if you need to start before all contracts are fully loaded. We do have experience in figuring out ways to bill for services while still in credentialing but these are handled on a case-by-case basis.
Can I submit under another physician? This is inappropriate in most situations unless we can justify using a locum tenens modifier. We would make recommendations on a case by case basis.
Will I receive regular updates? Yes, you will receive updates from your account manager on a weekly or bi-weekly basis depending on your needs. You will also have access to the credentialing system if you’d like to view the status of your providers without waiting for the update.
If I need help with something that is not listed, can you still help? Every start-up is different and therefore requires engagement on our part for a variety of tasks that are not listed. We can always deduct the time from your consulting allotment but this is often unnecessary for simple requests. The bottom-line is, that we will help you when you need it.

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Free Practice Start-up Checklist

Check off the boxes and follow our timeline to ensure nothing is missed or done in the wrong order. This is completely free to any new practice. We do require validation due to competitors that can’t find enough integrity to create their own resources.