Credentialing involves verifying a provider’s qualifications to ensure they can deliver patient care. This process is required by most health insurance companies, including CMS/Medicare, Medicaid, commercial plans, hospitals, and surgery centers.
While medical credentialing can distract from delivering quality care, it doesn’t have to be a burden. We’ll handle it for you!
Provider credentialing is a crucial step because practices offering services that cannot be billed are neither feasible nor sustainable.
This process ensures that providers meet the necessary standards set by medical organizations and payers, helps identify risk factors early, and reduces the chance of adverse outcomes. Credentialing also boosts your practice’s public relations, attracting new patients and earning their trust.
While credentialing can be time-consuming, it safeguards your revenues, minimizes potential losses, and enhances your practice’s overall reputation.
Assign a Credentialing Coordinator
Allow plenty of Time for the Credentialing Process
Link a New Provider’s Start Date to the Submission of Credentialing Forms
Create a Sustainable Credentialing Process.
Keep All Physician Contact Information Up to Date
Thoroughly Understand Your State’s Regulations.
Accelerate the Enrollment and Credentialing Process.
Accelerate the Enrollment and Credentialing Process.
Maintaining the Documents and Updating the CAQH Profile.
Manage all Payer Communications and Verifications.
Provide Demographic Updates.
Get Re-Credentialing/Revalidation Done on Time.
There are multiple steps in the medical credentialing process
Identification of Required Documents
Prioritize Insurance
Checking for Accurate Information
Wait for Verification
Following Up
Recertification
We know exactly what needs to be done and how to do it. By handling the credentialing and maintenance tasks, we save your clinic’s staff time and money.
Our team has the expertise to manage your credentialing needs and maintenance effectively. Trusting your credentialing to experienced professionals ensures you get the best results.
A mistake in credentialing or maintenance can be very costly for a practice. Our expertise is crucial for protecting your bottom line.
We keep your clinic regularly updated on each application and provide secure, online access so you can track our progress at any time.
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