Skip to content At Credex Healthcare, we understand how crucial it is to maintain the credentials of healthcare workers. Our credentialing specialists manage all aspects of credentialing to ensure your practice’s reputation, compliance, and profitability are maintained. Our credentialing maintenance services in the US take care of everything you need for your credentials, so you can concentrate on offering outstanding care to your patients.
Stay ahead of changes to rules and requirements for payers with the best credentialing maintenance company!
12+
Years of experience with provider and hospital enrollment and credentialing
7000+
Providers’ credentialing and insurance enrollment.
99%
Success rate with first submission.
120,000+
Applications submitted across all 50 states.
Our dedicated staff performs ongoing monitoring for insurance credentialing
We manage recredentialing applications for every hospital each year to ensure your providers maintain their hospital privileges and referral capabilities
Credex Healthcare’s credentialing specialists handle the complex process of recredentialing with business insurance carriers.
We are aware of the complete process of state licensing boards and revalidating government programs.
All CAQH ProView attestations and profile maintenance are managed by our certified professionals so that they can have a smooth operation with insurance providers.
Onboarding and registration services for new providers are offered at affordable and transparent prices, which reduces the additional costs incurred by your practice.
We do not just wait for the due dates of the renewals, but we also take care of them proactively. Our team will do the quality check of the credentials and documents as soon as they are required to be updated with the changes in the billing regulations of every payer. Our provider data maintenance services ensure you do not have a lapse in your credentials.
We make sure that healthcare professionals meet all the requirements and policies that they must comply with. In context, we verify their education, training, and licenses to ensure they comply with state-specific compliance regulations.
Constant oversight of maintenance services in credentialing ensures compliance with state standards. This model strengthens the accountability of the workforce, reduces risks, and makes the personnel qualified to serve effectively and keeps them informed.
The re-credentialing process is done by our staff, and all the providers are re-verified and re-credentialed on a regular basis. This procedure will enable you to maintain smooth operations as to service and payment.
Our advanced data management and reporting service, such as the information on the requirements to get the license and the date of payment, can assist healthcare facilities to operate within the frames and work more efficiently.
When credentials expire, claims are immediately rejected, possibly costing each source thousands of dollars in lost revenue.
Stay current with state licensure laws, DEA, and federal compliance laws in every location where you practice
Protect your existing insurance contracts by renewing them on time and avoiding lapses in payer enrollment.
Refrain from making your staff manage difficult credentialing tasks so that they may focus on the care of patients and practice growth.
Credentialing Expertise
In-depth understanding of the standards, methods, and needs for a wide range of healthcare workers, including nurses, doctors, and other health professionals.
Regulatory Compliance
Knowledge of the rules set by regulating groups, including the Joint Commission and the National Committee for Quality Assurance, ensuring practice is in full compliance.
Multi-Specialty Management
Industry-tested experience working with the credentialing process in a variety of specialties to ensure that the process is simplified and tailored to meet specific practice needs.
Primary Source Verification
Proficient in primary source verification to confirm qualifications, training, and credentials of healthcare providers to ensure the integrity of the credentialing process.
Continuous Monitoring
Ongoing tracking services that monitor the licenses, certifications, and disciplinary record of healthcare workers to ensure that their qualifications remain current and compliant.
Technology Integration
Our robust credentialing staff efficiently collects and manages provider data effectively, automating processes and paperwork to improve accuracy.
12+
Years of experience in successful credentialing maintenance services
99%
Success rate in credentialing maintenance services.
40%
Average Time Reduction in Credentialing Process
24/7 Support
Available to Address Your Needs
100%
Tailored Credentialing Solutions for Your Practice
Family Practice
Sarah
The Practice Manager
Michael
Internal Medicine
James
Healthcare Operations Manager
Lisa
Cardiology Group
Robert
Document Collection
The initial stage of the credentialing process involves gathering all the necessary data about providers, including information regarding their education, training, and licensure.
Verification & Data Entry
Credential checking is done with the utmost caution. We fill in all the details related to the credentials in our system. We also ensure that all the related documents meet the necessary requirements.
Review & Compliance Checks
Every one of our credentials is carefully vetted by staff to ensure it is complete before it is sent to the payer requirements and industry standards.
Submission & Follow-Up
The full credentialing applications are forwarded to the respective boards and insurance companies. Follow-ups on resolving inquiries and guaranteeing timely processing are also part of our end-to-end service.
We provide all-inclusive and continuing support to credentialing, where the provider credentials are well-examined and maintained. Our services include the collection of documentation, application submission, and effective and efficient follow-up.
Multi-State License Management
We handle license renewals and monitor the continued education of your employees in all the states where they have existing licenses.
Malpractice Insurance Coordination
We talk directly to your insurance carriers to make sure that your policy renewals fulfill all their criteria and coverage levels.
Specialty Credentialing Monitoring
Our employees keep track of the board credentials, specialty credentialing, and socio-professional affiliations to make sure they remain known.
Technology Integration
Our solutions interact with your practice management tools to make it simpler to share data and cut down on the amount of labor that must be done twice.
Do not let maintenance services for credentialing become a worry to your practice’s success. At Credex Healthcare, our credential specialists work to ensure that providers will continue to have complete access to all payer networks while adhering to all legal obligations.
Call us now for a free consultation and learn more about how our credential maintenance services in the USA may help you save money and make things operate more smoothly. Let us take care of the challenges of delegated credentialing maintenance so you can concentrate on what truly matters: taking care of your patients.
Call us now to schedule your complimentary practice assessment and learn more about our customizable maintenance plans designed specifically for your practice size and specialty.
Credentialing with the insurance companies is regarded as one of the greatest measures that a
Insurance credentialing is a critical component of managing a modern healthcare practice—it enables providers to
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