Credentialing Services

Credentialing is a crucial aspect of maintaining high standards of safety in the medical profession. Credentialing verifies that all health care practioners are properly trained and certified and have the required professional experience to provide healthcare services to patients.

Re-credentialing provides an on going patient care and maintains compliance. This takes place every 2 to 3 years. The recredentialing process verifies the education, training and license of providers and more.

Provder Enrollment is the process through which healthcare providers apply to be included in a health insurance network. As an in-network provider, you will be able to treat patients who carry that insurance and be reimbursed for your services.

CAQH is an online data repository of credentialing data. Practitioners self-report demographic, education and training, work history, malpractice history, and other relevant credentialing information for insurance companies to access.CAQH can require a lot of time.

The NPI is a unique identification number for covered health care providers.

We know every dollar counts so we will submit a request to the health insurance company to review a decision that denies a benefit or payment.

Hospital admitting privileges are the rights granting a doctor to admit patients to a particular hospital. if your patient needs to go the hospital, you as the primary care physician can admit at any hospital that you have approved privileges with.

Telemedicine is a tool that makes healthcare more accessible in today's society. Physicians and patients can have scheduled visits in real-time from one computer to another. It even has the perk to see and capture readings from medical devices at a faraway location. Using telemedicine software, patients can see a doctor for diagnosis and treatment without having to wait for an appointment. Patients can consult a physician in the comfort of their homes.