Credentialing
Credentialing Services That Align with Your Business Growth
What is Credentialing and Why Does it Matter?
Credentialing is the process of evaluating and confirming a healthcare provider’s skills and experience, including doctors, nurses, and other medical professionals. This process is crucial for patient protection and service excellence, as mandated by many healthcare providers and insurance companies.
Enrollment and credentialing are vital for establishing a practice that offers the highest level of patient care and insurance reimbursement. These processes allow states and insurance companies to identify medical practitioners who meet their requirements, ensuring insurance reimbursement and high-quality care for patients.
At Meditech, we understand the significance of credentialing and strive to provide our clients with the most reliable service possible. With our experienced team, we support you through every step of the credentialing process, from start to finish.
Why waste time and money on credentialing and enrollment when you can outsource it for a quick turnaround and a high return on investment?
Initial Credentialing
Credentialing Verification
Provider Enrollment
What Makes meditech Different?
Every day at Meditech, we are deeply involved in this realm. We possess the skills and knowledge necessary to swiftly guide you or your providers through the system and help you maintain your status once enrolled. We understand how to complete each payor’s extensive paperwork, whom to contact if an issue arises, and how to ensure your continued success. Dealing with a wide range of payor organizations, including commercial carriers, we ensure a smooth process.
Meditech offers enrollment and credentialing services to clients across a full spectrum of specialties. We ensure client satisfaction by adhering to the credentialing standards and guidelines set by the National Committee for Quality Assurance (NCQA). Our highly skilled team members will handle major provider enrollment and credentialing on your behalf.
CAQH Credentialing
CAQH, or the Council for Affordable Quality Healthcare, simplifies the process for healthcare providers to get credentialed to accept health insurance, saving both time and money. It ensures that providers meet the necessary standards and possess the appropriate certifications. At Meditech, we are experienced with the CAQH credentialing procedure and can assist you in navigating the requirements for a swift and efficient process.
Our credentialing team is highly experienced and can provide you with a comprehensive understanding of the requirements and regulations needed to maintain compliant credentialing and secure insurance reimbursements. We can also help you develop a comprehensive credentialing plan tailored to meet your specific needs and goals.
We offer physicians a wide range of services covering all major commercial insurance providers, including Aetna, Anthem, BCBS, CIGNA, Tricare, Humana, UnitedHealthcare, and more. Additionally, we assist with enrolling and revalidating for Medicare and Medicaid, CAQH registration, NPI registration, and resolving issues related to reimbursements and managed care contracts. Our experienced team is ready to help you navigate the requirements and ensure a quick and efficient process. Contact us today to learn more about how we can assist with your credentialing needs.
Credentialing for Different Specialties
At Meditech, we understand that different specialties have unique credentialing needs. That’s why we offer specialized services to meet those needs:
– Emergency Credentialing Service
– Psychologist Credentialing Service
– Telemedicine Credentialing Service
– Behavioral Health Credentialing Service
– Therapist Credentialing Service
– Anesthesia Credentialing Service, and many more.
Our tailored approach ensures that each specialty receives the attention and expertise it deserves, providing you with peace of mind and a streamlined credentialing process.
Other Services
- Medical Billing
- Accounts Receivable Management
- Out of Network Negotiation
- Prior and Retro Authorization Services
- Eligibility and Benefits Verification
- RCM Services