An All-Encompassing Solution for Adamas Healthcare Consulting
About the Customer
Adamas Healthcare Consulting is a billing and credentialing consulting organization that specializes in payer enrollment and credentialing, revenue cycle management, and accounts receivable. They chose CredentialMyDoc for its breadth of functionality, customization capabilities, affordability, and ease to implement and manage.
Overview
Whether a healthcare organization needs a littleor a lot of billing or credentialing support, AdamasHealthcare Consulting is there to help. The companyis currently working with 250+ clients and scaling toserve more.
Key Challenges
Manual processes:
As demand for the company's credentialingservices grew, a manual process and a heavyreliance on spreadsheets made it impossible toscale.
No single source of truth:
Without a platform that stored provider data and made it easy to retrieve, thecredentialing team could not pull data and create reports their customers needed.
Time constraints:
Growth meant the company needed a credentialing tool they could get up and runningfast. Most commercial solutions quoted implementation timeframes of 18 months ormore, not CredentialMyDoc.
Solution Selection Process
Adamas Healthcare Consulting was set on building a custom solution, but when companypresident, Kelle Humphries reached out to a developer to begin the process, heintroduced her to CredentialMyDoc. Humphries was skeptical at first, as she hadn't comeacross it in her research, but once she saw it, she was impressed by CredentialMyDoc's:
Breadth of functionality:
Ability to leverage primary source verification with over 800 sites,including DEA, OIG, and SAM and rapidly complete applications utilizing a library of 6,000+preformatted payer and facility applications.
Customization capabilities:
Ability to leverage primary source verification with over 800sites, including DEA, OIG, and SAM and rapidly complete applications utilizing a library of6,000+ preformatted payer and facility applications.
Affordability:
Low up-front costs with monthly and annual subscription models.
Ease to implement and manage:
A Cloud-based solution meant there was no hardwareto buy, no software to install and no IT hassles.
Implementation
Humphries led the CredentialMyDoc implementation. She originally expected a lengthyimplementation that would take six weeks or more and involve redirecting in-houseresources for support. But in the end, she was delighted to get the solution up andrunning in a matter of days, not weeks.
"We had a lot of data in a lot of places and I wasconcerned about that. But, CredentialMyDoc providedguidelines on collecting our data into a format thatwould allow them to upload it on my behalf. Once Iorganized my data into their template and handed itover, the CredentialMyDoc team took over. No manualdata entry was involved on our part. We were able tokeep serving our customers and doing business asusual which was a great relief."
Kelle Humphries, President, Adamas Healthcare Consulting
Results
Process Improvements
With stable processes in place and a tool to manage them, rework and redundant workhas been eliminated, and new team members can easily come up to speed with thecompany's credentialing and payer processes.
Data Availability
When a customer has a question, it's easy for Humphries and any member of her team toimmediately access the data required to answer it.
Robust Reporting
Whether Adamas Healthcare Consulting needs to pull a roster or create a specific reportaround MPI or taxonomy codes, they can do it and do it quickly.
Going Paperless:
Eliminating manual processes saves paper and money.
Revenue Growth:
According to Humphries, "We've always managed a lot of providers and that list continuesto grow. With CredentialMyDoc, we have the tools in place to scale and support both newand existing clients."
"CredentialMyDoc is the staple of our credentialingprocess. I can't imagine doing business without it.I needed a practical solution that would serve as adata repository and give me the ability to extract,manipulate and report on that data for an affordableprice and CredentialMyDoc checks all those boxesand more."
Kelle Humphries, President, Adamas Healthcare Consulting
Looking Ahead
Adamas consulting has grown by word of mouth. But with a solid credentialing processin place, the company is gearing up to serve more clients. A new website is in the worksand a podcast series titled: THE Revenue Cycle Academy is in development. Humphriesis all about sharing her hard-earned credentialing knowledge with anyone who needsit. "There's still a lot of confusion around credentialing terms and processes, and we'rehere to help with that." With the right knowledge and the right tools, Adamas HealthcareConsulting is certainly prepared to do so.