What is Credentialing and Why is it so important?
Credentialing is the process of obtaining, verifying, and assessing the qualifications of a healthcare provider who provide patient care services in or for a healthcare entity
- Medical provider credentialing can be time-consuming and difficult to navigate.
- It has proven to be a lasting process that will only become more complex over time.
- A superior credentialing process reduces headaches for providers, helping organizations improve patient trust, lower the risk of medical errors, mitigate the risk of financial loss and penalties, and protect your healthcare organization from potential litigation.
Keys to a great Credentialing process
✓ Assign a Credentialing Coordinator
✓ Allow Plenty of Time for the Credentialing Process
✓ Stay Updated with the Coalition for Affordable Quality Healthcare Credentialing Program
✓ Link a New Provider's Start Date to Submission of Credentialing Forms
✓ Create a Sustainable Credentialing Process
✓ Don't Assume All Payers Allow Billing a New Physician as Locum Tenens
✓ Keep All Physician Contact Information Up to Date
✓ Make Sure All Physicians Understand What Is Required of Them
✓ Conduct Your Own Background Check Early in the Process
✓
Thoroughly Understand Your State's Regulations
Why outsourcing your credentialing make sense in today’s world
Efficiency
We know what needs completed and how to do it. We save your clinic’s staff time and money by completing the credentialing
and maintenance that is required.
Expertise
A mistake in the credentialing process or maintenance can be incredibly costly to a practise. Our expertise is necessary for your bottom line.
Experienced
Our team has the experience to take care of your credentialing needs and maintenance. You do not want to trust your credentialing needs to someone with less experience!
Transparency
We regularly update your clinic about each application and provide a secure, online access for you to see our progress for each application at any time.
Credentialing Services Pricing
7 Ways DrCatalyst Optimizes Your Credentialing Process
01
Group Set up
For New practices: Setup Tax ID, Group NPI, CAQH Set up
02
Group Update
Update existing group’s
demographics with the payer (ie, new address)
03
Initial Provider Credentialing
- Commercial carrier per application per provider.
- Government carrier per application per provider.
04
Package Options
- 5-10 applications (combined commercial and government)
- 10-20 applications (combined commercial and government)
- 20-30 applications (combined commercial and government)
05
Recredentialing / Revalidation
Recredentialing provider with payer.
06
Linking Credentialed Provider with Group
Provider is already credentialed but needs linked to the group practice.
07
Total Maintenance Plan
- CAQH Maintenance
- NPI profile updates
- Renewal reminders
- Demo-graphics updates
- Medicare /Medicaid renewal
- Insurance re-credentialing
