Maximize your cash flow and revenue with Maxhealth Management!
Medical Credentialing Services
Take your mind off the paperwork, so you can get back to your patients.
Get in touch with an IntelliRCM agent to ease the burden of the credentialing process. Forget the Stress of Time-Consuming Credentialing Paperwork
What is Credentialing?
Credentialing is the process of confirming that healthcare organizations and providers adhere to the standards necessary to provide patients with the best possible treatment. It is an essential and important component of practicing medicine. For the purpose of determining whether and how much to pay for treatments provided to their covered patients, insurance companies rely on physician credentialing. This procedure necessitates a significant quantity of paperwork, data, and resources from healthcare practitioners because it is so important.
By adopting Maxhealth Management, you can let our hardworking team handle the paperwork and phone calls while you concentrate on providing excellent patient care. For your benefit, we’ll monitor the credentialing procedure. We will move the process along more quickly thanks to the expertise of our team. Never worry about the forms you’ll need or about having to follow up. We take care of the difficult part of credentialing.
Reduce Payer Denials, Keep Credentials Updated
The procedure of obtaining credentials is continual and not done once. Every one to three years, CVOs might need to renew their credentials. You can endanger the legal status of your practice if you miss a deadline. If your credentials are out of date, insurance companies may refuse to pay. With the help of our credentialing services, all physician information is kept current to lower payer denials and maintain a steady cash flow.
What Our Credentialing Services Includes
We support you throughout the entire credentialing procedure with our credentialing services. Data collection, provider enrollment in the Coalition for Affordable Quality Healthcare (CAQH), application submission, following up with credentialing organizations, and re-credentialing are all things we help with.
Provider CAQH Enrollment
The CAQH is a crucial site for learning about credentials. By joining the CAQH, a provider can guarantee that insurance companies will have access to their data.
Application Submission
Each credentialing body may have its own requirements for the accepted forms. Specialty practices call for more applications and data.
Crucial Follow-Ups
The entire credentialing process is slowed down if an organization, such as an insurance company, requests more information. Maxhealth Management manages all follow-ups to avoid delays and keep the process operating smoothly.
Re-Credentialing
Re-credentialing is essential to preserving cash flow. When a deadline is missed, the credentialing procedure must be restarted. By handling the re-credentialing procedure, Maxhealth Management avoids this.
Why Choose IntelliRCM
We can adapt our services for a variety of specialties by utilizing cutting-edge technologies. By doing this, your practice’s revenue rises and you only spend what is necessary.
Our Client’s Take on Us
The use of our specialized and affordable solutions has resulted in a 2-4% boost in our client’s revenues.
Provider Credentialing FAQs
How does provider credentialing work?
You will ask the provider representative for an application. The CVO will email, mail, or fax you an application and any supplementary forms. You submit the application to the CVO after it is finished. The CVO starts the process of acquiring data and directly checking it with the relevant institutions. The CVO decides whether or not to approve the application after the verification process is complete.
What is the difference between credentialing and contracting?
Credentialing is the initial verification step where you are either accepted or rejected. When a provider signs a contract with an insurance provider, this is known as contracting.
What are the steps in the credentialing process?
- Applying for a request
- Collecting the essential data
- The application process
- Performing follow-ups
- A decision is awaited
What is the turnaround time for credentials?
The duration of the process can range from a few days to six months.
What are the common problems with credentials?
Some of the most frequent problems are state compliance, a physician’s start date conflicting with the timeframe for credentialing, a lack of the appropriate information, a disorganized workflow, and these.
How long credentialing files must be kept?
It depends on the entity issuing the credentials and the kind of document.
