Ophthalmic Partners of Pennsylvania / AddVal Case Study:
Medical Leave Puts Pennsylvania Physician Group in Credentialing Bind!
Ophthalmic Partners of Pennsylvania, P.C. (OPP), a large group practice, headquartered in Bala Cynwyd, PA, was facing a physician credentialing challenge. Their full-time staff member who handled credentialing was going on medical leave and they were behind in credentialing two new physicians and were therefore not able to bill insurance companies and Medicare for the doctors' services.
Founded in 1971, OPP is the region's largest multi-subspecialty ophthalmology practice, providing advanced eye care in the areas of cataract and refractive surgery, cornea and external disease, anterior segment, glaucoma and related disorders, and pediatric ophthalmology. The group has 11 physicians and provides care from seven different office locations throughout the Metro Philadelphia and Southern New Jersey areas. All OPP physicians are Board Certified by the American Board of Ophthalmology and those offering subspecialty care are fellowship trained in their areas of expertise. OPP doctors have long-standing affiliations with world-renowned Wills Eye Institute and Jefferson Health System.
Julia Lee, JD, OCS, Executive Director of Ophthalmic Partners of Pennsylvania, began a search for a solution to the practice's credentialing challenges. She contacted Michelle McFarlane, RN, MSN, MBA, President and CEO of AddVal, Inc. Julia knew she needed someone who was used to handling the bureaucratic nightmares associated with medical credentialing. She was also aware that every state, every hospital, every insurance company has different rules, forms, processes and requirements for medical credentialing. And, Medicare, with its new PECOS system, is the most exasperating.
According to Julia, her time frame was very short; she needed someone who could jump in and get her credentialing accomplished as soon as possible. After speaking with Michelle and her staff at length, she was impressed with the highly professional people at AddVal and their unparalleled medical credentialing expertise. Since 1995, AddVal has been focusing entirely on medical credentialing and nothing else. Because of this singularity of focus, the company has developed credentialing contacts just about everywhere they are needed.
"We initially contracted with AddVal to just get our new physicians credentialed, but they did such an outstanding job, we let them take over all of our credentialing work," Julia explained. "They reviewed our files, cataloged and verified all of our credentialing information. It was a fairly massive project. They got us back up to speed on our credentialing work and now seamlessly handle all of our existing physicians as their re-credentialing needs occur," Julia continued.
"In the final analysis, what we purchased was AddVal's credentialing expertise, and it was less expensive than what we had been paying for a full-time staff member. They now act as our complete credentialing department and they know our needs very well," Julia added.
"I'm most appreciative of the help they gave us on all the changes with Medicare. They enrolled all of our physicians on PECOS, electronically. AddVal handled everything. It was a totally painless process for our group, and they kept us informed of everything that was going on during the process. PECOS was not a big deal for us," Julia commented.
"AddVal's biggest asset as far as I'm concerned is their pleasant and helpful staff. No matter who answers the phone there, I can get the answers I need. I think it all goes back to Michelle's hands-on, proactive approach to handling her clients' needs," Julia concluded.
About Add Val, Inc.
AddVal, Inc., based in Southampton, PA, currently serves over 5,000 clients across the U.S., providing experienced medical credentialing services. The company employs a unique blend of talented individuals experienced in clinical administration, healthcare insurance and medical credentialing. This team, combined with a singular focus on credentialing, produces unrivaled results for clients.
|Unrivaled Medical Credentialing Expertise
1018 Street Rd, Suite 102
Southampton, PA 18966
Telephone: 215-396-8972 | Fax: 215-364-2187 | Email: firstname.lastname@example.org