A targeted approach to keeping your practice running smoothly.
Provider Enrollment & Credentialing Services
Don't DIY your credentialing
Whether you are a new graduate, a solo practitioner practice just getting started, or a rapidly growing medical group, you will need a strategy to identify the best insurance networks to contract with, complete network enrollment applications and maintain your enrollment compliance continuously with all payors.
This can be challenging at a time with a growing list of mandated compliance steps - let our team handle the paperwork and focus on all of the moving parts to keep everything on track.
The credentialing process is not DIY friendly task, as the process generally can take 90-120 days and any errors on an application can restart the entire clock!
We offer complimentary consultations to best understand your needs.
Organized & efficient information gathering process for getting started
Clear and concise status updates to keep you updated on your enrollment status
Maintenance Tracking
Stay up to date on crucial attestations for your practice!
Provider Maintenance Tracking is essentially structured around looking at what is coming up ahead for each of your providers in regards to license renewals, professional liability policy renewals, and re-credentialing/re-validation time frames. Our team also handles CAQH monitoring, Availity/Payor Portal Attestations as required under the No Surprises Act and finally - making sure that your practice & providers have a strong online presence across provider directories.
- Maintain current and accurate data for all providers
- Maintain copies of current state licenses, malpractice coverage and any other expirables
- Track licenses and certification expirations to ensure timely renewals
- Maintain provider information in online databases
- Compliance tracking (OIG exclusions/SAM Verifications)
- Audit demographic information for accuracy with all payors
Use our secure provider portal for easy onboarding and management of your renewals and re-credentialing dates
Maintenance tracking to ensure nothing falls through the cracks while you are busy running your practice.
Need help getting your office scheduling team caught up to speed with in-network vs out of network plans? We offer On-Site* or Virtual sessions.
Web Presence
Changed practice location recently? Have a new service you are offering? Keep your patients up to speed.
In today's world patients expect easy access to accurate information about your practice and that starts with accurate contact information online and consistent content. Updating provider directories, NPI Registry and other online databases as well as your Google Profile for example will significantly improve access and patient satisfaction when trying to make an appointment.
A strong web presence is also beneficial when payors are researching your practice during the credentialing process!
Efficient onboarding to save time, resulting in a cost savings to your practice
Easy to understand document tracking, status updates for record keeping
You'll always deal with on-shore team members assigned to your practice for direct communication
CONSULTING
Navigating payor enrollment and contracting is complex. We're here to help you handle it all.
Looking at credentialing applications or reading payor contracts can feel like foreign language. We're here to take care of it all, so you can focus on what really matters - your business. With a streamlined enrollment and expert tracking of your credentialing & contracting progress we can save you the headaches down the road.
We provide complete, rapid and uncompromising support when you need it and will help you identify the best path forward to improve revenue, onboard new providers to your practice and improve your web presence to attract more patients.
You'll always deal with us directly, every time you need us.
Specialties
Experience with a wide range of specialties such as Primary Care, Urgent Care, Pain Medicine, Surgeons, Bariatric, Chiropractic, Behavioral Health, Speech & OT
Want more information?
(530) 918-8194
PO Box 643 Durham CA 95938
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