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Crescent
Preferred Provider Organization, Inc. is a regional provider-sponsored
preferred provider organization (PPO) covering sixteen counties
in Western North Carolina.
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Not-for-profit, taxable company.
- Membership
company governed by a Board of Trustees made up of ten practicing
physicians, five hospital representatives and three employer representatives.
- Messenger
model process offers employers, Third Party Administrators, and
other third-party organizations opportunity to submit a fee schedule
through Crescent to more than 1900 physicians, 15 hospitals and
a variety of ancillary services. This process allows Crescent
to build a network suitable and acceptable to employers' specific
needs.
- Service
Area: Sixteen counties in Western North Carolina that begin at
Mitchell, McDowell and Rutherford, moving west to the Tennessee
border.
The
most effective method for the provision of healthcare requires a
collaborative philosophy.
Crescent was
formed in 1999 by a group of providers, representing both physicians
and hospitals, who were driven by the belief that the most effective
method for the provision of healthcare is a collaborative philosophy
involving not only the traditional health providers - but also the
patient, the employer and the community.
These providers
share the belief that the way to add value for our customers is
to utilize physician members as the leaders of regional, community-based
chronic disease management, supported not only in the providers'
offices and hospitals of the region, but through employee education,
employer-sponsored wellness events, and regional and national bench
marking.
Products
& Services
The following
products and services are available to assist employers and employees
to develop healthier life-styles.
- Preferred
Provider Network - 2400+ physicians, 15 hospitals, ancillary providers
- Comprehensive Health Management, including personal and individualized case management, disease management, precertification, utilization review, data reviewe and analysis
- Pharmacy
Benefit Management
- Health Risk Assessments (HRA's)
- Wellness
Services
Benefits
to Employers
- No access
fees
- Superb customer
service
- Management of healthcare costs
- One contract
for all network services
- Excellent
provider coverage over 16 county region of Western North Carolina
- One contract
for all network providers
Our
Vision
To be Western North Carolina’s leading resource
for network services and innovative health management
Our
Mission
Crescent is committed to adding value through:
- Facilitating long-term relationships among providers, employers and employees
- Fostering collaboration regarding health management programs
- Promoting healthy lifestyles
- Ensuring appropriate access to the healthcare delivery system
- Managing healthcare costs
Our
Staff
Amie Owens,
Executive Assistant Ext. 102
Ann Ledbetter, TPA Administrative Assistant Ext. 128
Cindy Beaver, TPA Claims Manager Ext. 117
Deana Gardner, Provider Relations Manager Ext. 110
Delane Stiles, Client Services Coordinator Ext. 107
Georgia Sasscer, VP TPA Services Ext. 129
Harriett Pickard, HR Assistant Ext. 120
Jackie Dula, Admin. Director of Health Management Ext.121
Jennifer Moore, VP Operations Ext. 104
Karen Kennedy, UR Nurse Ext. 122
Keith Challenger, VP Marketing Ext 114
Linda Moore, Administrative Assistant Ext 108
Lynette Gershon, Case Manager Ext. 118
Maeve Ybanez, TPA Administrative Manager Ext. 105
Michelle Rumfelt, Pharmacy Benefits Coordinator Ext. 106
Pat Hensley, VP Client Services Ext. 109
Sandra
Price, Credentialing Coordinator Ext. 124
Sherrie Byrd, Disease Management Nurse Ext. 116
Steve Harris, Director of Business Development Ext 103
Tara Pressley, CFO Ext. 111
Tracy Mahoney, Administrative Assistant Ext. 100
Myrna Harris, CEO Ext. 112
Andrew Price, MD, Ext. 100
Pre-Certification
Ext. 115
Case Management Fax: 828-670-9159
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