Fleur-De-Lis Connection Volume 26, Issue 10

News OCTOBER 2015 · VOLUME 25 & ISSUE 10 A MONTHLY PUBLICATION OF THE GREATER LOUISVILLE MEDICAL SOCIETY WHAT’S INSIDE Page 1 - C  APS Under New Management Page 2 - Board Highlights Page 3 - Wear the White Coat Kickoff Page 5 - Legislative Town Hall Page 6 - KUDOS Page 7 - Golf Tournament Scholarships Page 7 - Talk Face to Face with Payers Page 8 - CMS Lab Fee Rule Needs Your Voice CREDENTIALING UNDER NEW MANAGEMENT One of the most recognizable services offered by the Greater Louisville Medical Society is credentialing though the Centralized Application Processing Service (CAPS). The program offers a top quality source for verifying physician credentialing information at a fraction of the cost otherwise required for client hospitals, out-patient surgery centers and other entities. Although credentialing has been a hallmark of GLMS for 24 years and counting, there are areas where service can be improved. GLMS is striving to make credentialing a more interactive and personalized application process for members and clients who interact with the program. “We wanted to make the credentialing process a more member friendly service, and make sure those coming through CAPS are aware of educational opportunities as well as GLMS member benefits,” said Jessica Williams, Member and Client Services Director. PDF form. And, in the past, we didn’t do enough education on the front end of the application process to teach doctors the benefits of joining GLMS. Now we’re getting that information out there.” The first of many GLMS member benefits is extensive discounts for their credentialing needs. “When a physician in need of credentialing contacts us through the web, over the phone or in person, they fill out an application as well as forms for any supporting documents they may need. Then we work to verify the information required from their peers and former employers,” said Williams. Another helpful tool in the CAPS arsenal is a collaboration with our PEPS Department to guide physicians through the process of provider enrollment. “We decided to pursue provider enrollment to close the loop between hospital credentialing and insurance credentialing. We’re already helping physiDirector of Member & Client cians obtain the credentials Services, Jessica Williams, CPCS, PCMH CCE, CHTS-PW they need, so why wouldn’t we Williams, who previously served use that information on your as the GLMS Physician Educabehalf to get you enrolled with tion & Practice Support (PEPS) Director, knows the insurance companies? A lot of those things the bureaucratic hurdles physicians face each day we can be doing concurrently,” she explained. and is applying that knowledge towards a more For physicians who utilize the service, the CAPS proactive credentialing service. In addition, CAPS and PEPS departments will handle all paperwork is now working closer than ever with Louisville for initial enrollment and re-enrollments. They hospitals to reduce the overall turnaround time will also track responses from each insurance of each applicant. carrier until provider numbers are obtained. All “The initial application process was cumbersome so we’re changing it,” Williams explained. “The online form at www.glms.org is now a fillable applications and documentation from providers are stored on a secure database alongside the (Continued on page 3)