Credentialing & Provider Enrollment Maintenance Service
“Lost Credentialing = Lost Revenue. Stay on Top of Payer Requests!”
At Credex Healthcare, we know how vital it is for healthcare providers to maintain accurate and up-to-date credentials. Ensuring compliance and uninterrupted patient care requires proactive management. Therefore, our Credentialing & Provider Enrollment Maintenance Service takes care of all credentialing tasks, allowing you to focus on delivering quality healthcare.
Our Credentialing Maintenance Plan
Address Updates & Modifications
- Get two address changes per year at no cost, plus a 50% discount on any additional updates.
Expiration Monitoring
- We track DEA registrations, state licenses, malpractice insurance, and other time-sensitive credentials to prevent disruptions.
Hospital Affiliation Renewals
- We assist with up to one recredentialing application per physician annually, ensuring continued hospital privileges.
Payer Contract Revalidations
- Our team handles recredentialing with commercial payers to protect your contracts and revenue flow.
Medicare & Medicaid Compliance
- We oversee the entire revalidation process to prevent enrollment gaps and maintain compliance.
CAQH Profile Updates
- Our experts manage CAQH attestations and profile maintenance, ensuring effortless interactions with payers.
New Provider Onboarding
- We offer discounted enrollment services to simplify the credentialing process for newly hired providers.
Payer Enrollment Audits
- For practices with five or more physicians, we provide a free payer audit to verify provider enrollments.
Who We Serve
- Hospitals, including Critical Access Hospitals
- Physicians (MDs/DOs)
- Nurse Practitioners
- Physician Assistants
- Physical Therapists
- Occupational Therapists
- Licensed Clinical Social Workers
- And Many More…
Pricing
Our credentialing maintenance services are tailored to fit your organization’s needs. Pricing ranges from $30 to $60 per provider per month. Investing in this service safeguards compliance and protects revenue streams from potential credentialing issues.
Why Credentialing Maintenance Matters
Neglecting provider credentialing can lead to denied claims, compliance violations, and even removal from insurance networks. However, by keeping your credentials up to date, you can prevent revenue loss and ensure long-term practice sustainability.
Getting Started
Getting started with our credentialing maintenance service is simple. Once we gather the necessary details about your practice and providers, we initiate the process immediately. Furthermore, our flexible agreements accommodate practices of all sizes. Whether you prefer a month-to-month arrangement or a long-term partnership, we have an option for you.
Stay Compliant and Focus on Patient Care
Partner with Credex Healthcare to ensure seamless credentialing management. With our expert support, you can concentrate on what matters most—delivering outstanding patient care.
