AZMGMA Credentialing Issues Round Table

AZMGMA Credentialing Issues Round Table
Facilitated by Cindy Leonard and Erica Boehle

www.azmgma.org 

June 15, 2016
11:30 am – 1:00 pm
DoubleTree Guest Suites, Phoenix

Credentialing issues are adversely impacting providers and patients in many ways, some of which are:

• New grads or transferring physicians cannot practice until up to six months (longer for UHC) after becoming licensed.  That translates into no income, and many have loan repayments, families to support, etc.
• Patients do not have access to providers for extended periods of time when the State is already experiencing a shortage of practitioners.
• Tremendous financial burden is placed on practices who have already incurred recruiting and set up costs for new physicians, especially smaller practices and those providers who are trying to establish a new practice.
• True economic impact on the communities.

The Department of Insurance has no teeth to correct the behavior since the issue is actually contractual. Providers cannot afford to simply drop payors.  Many providers simply see patients knowing they will not be paid because:

• They need to care for their existing patients if they are moving from an existing practice
• They need to establish practice
• They need to help handle overflow from already full partners

There are no refunds after June 12. Those who register and do not attend the meeting are expected to pay their registration fee. Credit Card payments can not be accepted at the door. If you did not pay by credit card you must have cash or a check.