PracticeCare

John Gwin on Medical Practice Credentialing, Contracting, and Ready to Bill on Day 1

Episode Summary

Hailing from a background in management at both an outsourced medical billing company as well as a busy plastic surgery practice, John Gwin is the founder of The Auctus Group – a financial and operations consulting firm for exclusively plastic surgeons and dermatologists. John has had the privilege of working with countless physicians for over a decade now, aiding and assisting them in process, workflow and growth. Aside from multiple speaking engagements with Nextech, ADAM, FFAS, MAPS, and beyond, John also serves in an advisory role with a mobile mohs group, Chicago Mohs, as a Principal at a plastics/derm specific MSO/CIN, Medovate, a Board Member with Brave, a non-profit striving to serve and educate the breast cancer community, and is a member of the Young Entrepreneurs Council.

Episode Notes

Hailing from a background in management at both an outsourced medical billing company as well as a busy plastic surgery practice, John Gwin is the founder of The Auctus Group – a financial and operations consulting firm for exclusively plastic surgeons and dermatologists. John has had the privilege of working with countless physicians for over a decade now, aiding and assisting them in process, workflow and growth. Aside from multiple speaking engagements with Nextech, ADAM, FFAS, MAPS, and beyond, John also serves in an advisory role with a mobile mohs group, Chicago Mohs, as a Principal at a plastics/derm specific MSO/CIN, Medovate, a Board Member with Brave, a non-profit striving to serve and educate the breast cancer community, and is a member of the Young Entrepreneurs Council.

In this episode, Carl White and John Gwin discuss:

• Medical practice credentialing and contracting 
• The first steps in the process of credentialing
• Creating a timeline
• Software implementation 

Key Takeaways: 

• Medical practice credentialing is letting an insurance carrier know who you are, where you are, how to contact you and what practice you’re running. Contracting or securing a business contract with them is the next step. 
• One of the first steps is to make sure your PECOS and CAQH are up-to-date, accurate, and ready to go. 
• Have a checklist of the basic building blocks that you need to start your business and create a timeline and get the process moving as soon as possible. 
• Make sure that your software is in place and that you’re going through implementation with that software vendor. Each vendor has their own implementation timeline, but allow a sixty day space, at least, for this part of the process or more.

“No matter what, you have to get your contract secured before your start date to have a guarantee… Even if you’re ready and executed, their systems may take time to update. That’s why you wnat to leave these extra buckets of time.” - John Gwin

Connect with John Gwin:

Website: www.auctusgroupconsulting.com

Email: john@auctusgrp.com

LinkedIn: https://www.linkedin.com/in/john-gwin/ | https://www.linkedin.com/company/theauctusgroup

Instagram: https://www.instagram.com/theauctusgroup/

Facebook: https://www.facebook.com/TheAuctusGroup/

Connect with Carl White: 

Website: www.marketvisorygroup.com  

Email:  whitec@marketvisorygroup.com

Facebook:  https://www.facebook.com/marketvisorygroup

YouTube: https://www.youtube.com/channel/UCD9BLCu_i2ezBj1ktUHVmig

LinkedIn: https://www.linkedin.com/in/healthcaremktg/