Administrative Credentialing And Peer Review Attorney Serving Kentucky

With more than 20 years of healthcare law experience, I can help you obtain the credentials you need to provide medical services and receive reimbursements in Kentucky. I can also help protect you from sanctions from a peer review investigation. From my law office in Lexington, I represent healthcare providers throughout Kentucky.

Credentialing Services

I help hospitals, clinics, surgical centers, physician groups, individual physicians and other healthcare providers become credentialed as in-network providers for payers such as Medicare, Medicaid, Anthem, Blue Cross & Blue Shield and UnitedHealthcare.

As your lawyer, I can assist you in the application process with each individual payer. If your credentialing application is denied, I can help you appeal the denial.

Representing You In Peer Review

Hospitals, physician groups and other healthcare providers police their own providers through a process known as peer review. Complaints of substance abuse, sexually inappropriate behavior or negative behavior from patients or co-workers could lead to an investigation that can have a devastating effect on your reputation and your future.

Peer review investigations can result in sanctions such as a letter in your personnel file. Depending on the sanction, you could also be reported to the National Practitioner Data Bank, creating a permanent record that could follow you from state to state. To protect yourself from harsh consequences, seek representation from an experienced lawyer as soon as you find out you are under investigation.

For More Information About Credentialing Or Peer Review

For an in-depth discussion regarding administrative credentialing or peer review, call me, attorney Tricia Shackelford, at 866-578-9478 or complete my simple contact form to schedule an appointment.