Credentialing for Locum Tenens Providers: Challenges & Solutions

A small Midwest cardiology group (3 cardiologists, 2 NPs) struggled with billing errors, denials (12%), and long payment delays (58 days).
Staff were overloaded with front-desk, prior auth, coding, and billing tasks—causing late and incorrect claims.
Options considered: hire staff, buy new tech, or outsource RCM. Outsourcing was chosen for quick impact and predictable costs.
Practolytics introduced:
- Real-time eligibility checks & clean patient data.
- Specialty-focused cardiology coding guides.
- Automated pre-claim scrubbing & structured denial handling.
- Weekly dashboards & quick team check-ins.
Six months later:
- Billing accuracy rose from 91% → 98.5%.
- Denials dropped from 12% → 4.3%.
- First-pass claim success improved from 76% → 94%.
- Days in A/R reduced from 58 → 34.
- Revenue grew by 18% with the same patient volume.
Improved cash flow allowed expansion into remote monitoring and extra outreach days—without hiring more staff.
Key drivers: clear accountability, quick eligibility checks, specialty coders, and transparent weekly reporting.
Practolytics offers the same benefits—cleaner claims, faster payments, and stable cash flow—for practices seeking growth without added staff.

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A small Midwest cardiology group (3 cardiologists, 2 NPs) struggled with billing errors, denials (12%), and long payment delays (58 days).
Staff were overloaded with front-desk, prior auth, coding, and billing tasks—causing late and incorrect claims.
Options considered: hire staff, buy new tech, or outsource RCM. Outsourcing was chosen for quick impact and predictable costs.
Practolytics introduced:
- Real-time eligibility checks & clean patient data.
- Specialty-focused cardiology coding guides.
- Automated pre-claim scrubbing & structured denial handling.
- Weekly dashboards & quick team check-ins.
Six months later:
- Billing accuracy rose from 91% → 98.5%.
- Denials dropped from 12% → 4.3%.
- First-pass claim success improved from 76% → 94%.
- Days in A/R reduced from 58 → 34.
- Revenue grew by 18% with the same patient volume.
Improved cash flow allowed expansion into remote monitoring and extra outreach days—without hiring more staff.
Key drivers: clear accountability, quick eligibility checks, specialty coders, and transparent weekly reporting.
Practolytics offers the same benefits—cleaner claims, faster payments, and stable cash flow—for practices seeking growth without added staff.