Audits play a crucial role in acquiring non-financial information essential for comprehending and strategically planning towards your goals. While we routinely conduct audits during the onboarding phase, we also provide comprehensive audits tailored to your business needs, ensuring you unlock your maximum reimbursement potential.
Credentialing and Enrollment are the very first steps in beginning or growing your practice. Any missteps in these critical areas coul result in significant and potentially unrecoverable financial setbacks.
Enrollment is the process of applying for in-network status to commercial and government insurance plans for providers and their group practice. When both secure network approval, providers can secure proper reimbursement for the services they render. Credibility will guide you through the commercial and government payer landscape of requirements. It all starts with the application, so it’s important to provide all requested information up front. These are timely processes, and we want to help you avoid any additional delays. We caution you that you will not achieve clean claims without effective credentialing and enrollment.
Let us take the stress off you and set you up for success.
The American Medical Association (AMA), Code of Medical Ethics defines medical staff privileging as the purpose to improve the quality and efficiency of patient care in the hospital.
Hospitalist Groups, ASC-based Surgeons, Providers making rounds in Skilled Nursing Facilities, Rehabilitation Centers, or Dialysis Units, and many other reasons trigger the need for Hospital Privileges.
The hospital and surgery center credentialing processes have become increasingly complex and time-consuming. These usually entail an application with extensive proof of experience and background information to support your request. There are varying categories that a provider can apply for which will determine if additional requirements are needed.
Credibility will be your liaison for each healthcare facility. We’re efficient; let us organize, prepare, and monitor these unique requirements so you can focus on what matters.
We provide a diverse range of consulting services tailored to your Ambulatory Surgery Center (ASC). Our dedicated team is equipped to expertly manage and mentor your group's unique needs, regardless of the stage your facility is currently in.
Recognizing the challenges inherent in this endeavor, whether you're navigating uncharted territory or seeking additional support, entrust us to guide you through the complexities with precision and expertise.
Utilizing our licensing services means freeing yourself from the stress and hassle of the myriad administrative demands in your profession. We proactively engage with state boards to identify requirements before making requests to you.
Our approach involves utilizing all available resources, including the FSMB. Alternatively, we take a hands-on approach by directly liaising with state boards on your behalf. Beyond that, we assist in determining your eligibility for an expedited application process through Endorsement.
From managing the submission process to diligent follow-ups, we take charge of your application journey from inception to completion. Our commitment to keeping you informed at every phase distinguishes us as a unique partner, ensuring you stay abreast of the status of each facet of your application.
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