Credentialing and Enrollment
Enhancing credentialing services to speed up reimbursements
Credentialing and contracting are essential to the success of any healthcare facility. If your clinic or healthcare facility doesn't have it, insurance providers might not approve your claims, and patients won't have access to healthcare. A credentialing and contracting service is crucial to building trust and relationships between patients and insurers.
Providers must ensure that they are credentialing and contracting in compliance with all regulations. In other words, you qualified your healthcare providers, negotiated and signed contracts, and tracked progress in a timely manner. Without these things, you're putting patients and your clinic at risk.
As a healthcare provider, you should understand credentialing and contracting. A credentialing process verifies the competencies of a healthcare professional, and contracting involves defining the terms and conditions of a professional relationship.
AR Rescue provides credentialing and contracting services for healthcare providers. We assist you in verifying the credentials of your providers, negotiating and signing contracts, and tracking progress. We can also review contracts and provide other strategic services to ensure your clinic is compliant with the law.
A list of our credentialing services includes:
- Medical credentialing services for physicians and healthcare providers.
- Verification of credentials for physicians and other professionals.
- Health plan management.
- Privileges of outsourcing.
- Care contract management.
- Providing healthcare organizations with counseling services.
Credentialing Requirements
The credentialing requirements for medical facilities and insurance companies depend on the state, county, and population. There are many credentialing requirements, including hospital affiliations, state licenses, DEA licenses, provider enrollment applications, board certifications, malpractice insurance certificates, disclosures about sanctions, criminal histories, background checks, military service, and IRS letters.
Our Credentialing Services You Can Rely On
- Credentialing saves you months of effort and time.
- It reduces the pain caused by large numbers of printed materials.
- Insurance companies are more likely to pay out claims quickly if the system is in place.
- A dedicated project manager is provided for you who oversees the progress of your project.
- Portals for online projects are always accessible.
- Give your practice a cost-competitive edge to increase profitability.
Our Credentialing Services You Can Rely On
- Credentialing saves you months of effort and time.
- It reduces the pain caused by large numbers of printed materials.
- Insurance companies are more likely to pay out claims quickly if the system is in place.
- A dedicated project manager is provided for you who oversees the progress of your project.
- Portals for online projects are always accessible.
- Give your practice a cost-competitive edge to increase profitability.