Start enrolment early
It is always the longest lead time.
Booking a new clinician into clinic before their payer enrolment has completed.
Credentialing and payer enrolment take months, and practices consistently treat them as paperwork to start once a clinician has signed. The result is a provider seeing patients who cannot be billed, or claims held for weeks and then denied for dates of service before the effective date.
Starting early is most of the fix, and the rest is tracking. Each payer moves at its own pace and none of them chase themselves, so a weekly follow-up on every open application is the unglamorous work that turns six months into four.
On the clinic floor the pattern is similar: practices ask for more rooms when the real constraint is a template built on visit lengths nobody has measured since the practice opened. Sitting in a session for a day reveals it, and a description of the same day never will.
It is always the longest lead time.
Descriptions of clinic are always tidier.
Stark and kickback are not operational.
A free first call, with an honest view on whether we can help.