Coronis Health, Emergency Medical Services

Credentialing

Coronis Health takes the headache out of assessing licensed professionals, organizational members, or organizations’ backgrounds and legitimacy.

It takes diligence to ensure providers are appropriately credentialed and promptly. Our industry-leading tech innovations mean credentialing is a painless process. Our revenue cycle management clients receive credentialing with their medical billing service. Coronis Health’s Emergency Medical Services speciality team has 100+ years of combined experience, so we can get you credentialed and paid by providers.

What are EMS Credentialing Services?

Licensing is required for those who work as an emergency medical responder (EMR), emergency medical technician (EMT), advanced emergency medical technician (AEMT), or as a paramedic. Credentialing services are a critical step in the revenue cycle. The process not only enables patients to utilize their insurance coverage to pay for medical services, but also enables primary source verification to ensure healthcare providers get reimbursed for the medical services they provide. Furthermore, the credentialing process is a vital component of managing provider demographics, sanctions, continuing training and education, and serves as a source for application for membership, participation, or privileges.

The credentialing process requires time-consuming manual work in terms of filling out forms, addressing questions and clarifications from payers, and following up on credentialing requests. Medical billing and revenue cycle management companies can shoulder this burden, helping you get credentialed faster because they have the knowledge and skills to understand all policies, procedures, and documents that adhere to the standards set by the National Committee for Quality Assurance (NCQA), Joint Commission (JCAHO), Accreditation Association for Ambulatory Healthcare (AAAHC), Utilization Review Accreditation Commission (URAC), Healthcare Facilities Accreditation Program (HFAP), DNV-GL, and Medicare.

Challenges of EMS Credentialing

The demands of an ever-changing healthcare landscape add pressure on everyone’s jobs. Specifically, attracting and retaining EMS personnel is no easy feat. EMS challenges, of course, translate to challenges in credentialing.

Some of these challenges include:

Underpaid Staff – Most rural EMS are volunteer rather than paid positions. If paid, EMS workers still earn far less compared to other first responders, despite handling a larger burden of work.
Busy and Understaffed Agencies – EMS members tend to be very busy working multiple jobs. They also have to spend more time in EMS training to keep up with complex healthcare changes. This makes it more difficult to attract and retain staff. When the staff thins out, individual EMTs get called out more frequently.
High Staff Turnover – Many EMS members transition to higher-paying positions such as firefighters or RNs.
Certification through the National Registry of Emergency Medical Technicians – Most states require certification through this registry, and many believe that the registry may be preventing qualified people from joining the ranks of EMS staff. Specifically, some find the tests “tricky” because of their inconsistency with what is taught during trainings nationally.

Enrollment / Credentialing Benefits

Specialty Focus on EMS

With over 2 decades of experience providing EMS revenue cycle and financial consulting services to the ambulance industry. We have a solid, long-term proven track record with hospital systems, municipalities, volunteer agencies, and fire/EMS departments. We are the industry experts in ambulance billing and collections, offering a full spectrum of services, including AR management, ongoing financial performance analysis, and EMS business management services.

Benefits of Working with Our Medical Billing Service

Significant increase in cash collections
Forensic follow-up on every claim
Proven ambulance service start-up program
Total operational management services
Medicare compliance and documentation training for EMTs and Paramedics

We offer ambulance billing and collections expertise for the following EMS service levels:

Basic Life Support
Advanced Life Support
Specialty Care
Roter & Fixed Wing
Non-Emergency ELS

Enrollment/Credentialing Features

Coronis credentialing services offer the following:

On-site Credentialing Specialist
Recommendations for insurance carrier participation
Managed care contract completion
Notification of contract expiration
Government program contract applications

Coronis offers global resources for local solutions, ensuring our clients receive support tailored to their precise needs and budget. We welcome the opportunity to serve you and your practice for the months and years ahead.

What an EMS Credentialing Consultation Looks Like at Coronis Health

The credentialing process at Coronis Health is managed by our highly experienced staff who help you navigate the process of provider enrollment and EMS credentialing. We’ve made consulting an entire department with seasoned staff who have relationships with agencies nationwide. When you come to us for credentialing services, you can expect our focus on managing every step of the process to achieve the fastest and most accurate enrollment possible.

We will cover important credentialing steps such as:

Primary source verification application & initial credentialing
Re-credentialing
Auditing for initial and re-credentialed providers
Monitoring expirables with CAQH
Completing and submitting enrollment applications
Following up on applications
Re-negotiating contracts

With 100+ years of combined experience, Coronis Health’s expert team understands the EMS credentialing process’s complexities. Our specialized medical billing services make the often daunting process simple and hassle-free for you. We will use our expertise, global capabilities, industry relationships, and specialized solutions to help you negotiate contracts that are in line with the quality services you provide.

Essentially, we will look into your current system and organization, listen to your needs and goals, and tailor solutions to cover the following services:

Medicare and Medicaid enrollment, as well as group linkage
Commercial insurance enrollment
CAQH provider registration
Type 1 and 2 NPI applications
Ongoing CAQH maintenance, including re-attestations, tracking, and updating expiring credentials
Medicare and Medicaid revalidations and commercial re-credentialing
Tracking of applications from submission date to provider enrollment
Customized reports showing provider par status and application progress
Resolution of credentialing-related billing issues (for full-service revenue cycle clients)

Coronis Health has two credentialing service options. We can assist as needed or ongoing to ensure a seamless process when new providers join your practice. Don’t risk losing revenue or patients because of credentialing. Let Coronis Health help.