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Leading Geriatrics Credentialing Services

Credex Healthcare’s geriatrics credentialing services streamline the comprehensive process of establishing Medicare and insurance network participation for geriatric physicians. As a specialized provider of credentialing services for geriatric care facilities, we manage Medicare credentialing for geriatrics providers, insurance enrollment, CAQH profile setup, nursing home provider credentialing, and senior care practice optimization. Our expertise ensures geriatricians efficiently enroll in networks across Medicare, Medicare Advantage plans, and commercial insurance carriers, maximizing revenue generation through comprehensive payer enrollment.

Our comprehensive geriatrics credentialing services navigate these requirements, ensuring expedited enrollment through coordinated documentation and strategic payer engagement.

YOUR TRUSTED PARTNER

Features

What Sets Us Apart

5,800+

Geriatricians are credentialed nationwide, establishing Medicare and senior care network participation.

90 Days

Average geriatrics credentialing processing through expert Medicare documentation and streamlined verification.

96%

First-time approval rate demonstrates our thorough understanding of Medicare and insurance credentialing standards for geriatrics.

13,200+

Geriatric provider credentials processed, giving physicians confidence in our proven expertise with senior care credentialing.

Our Story

Geriatrics Credentialing Services You Can Trust

With Credex Healthcare’s geriatrics credentialing services, we ensure that our senior citizens get optimal care. Our team of skilled specialists provides extensive and trustworthy licensing procedures that are specifically designed for healthcare providers who interact with older adults. We recognize that this area has its own set of issues, and we work hard to assist healthcare personnel in providing exceptional service. You can trust us to manage your certification requirements in a fair and professional manner.

Complete Geriatrics Credentialing Services Include:

Medicare Enrollment Management

CMS and Medicare Administrative Contractors work together to make sure that elderly care physicians can obtain Medicare.

Medicare Advantage Plan Enrollment

Plan ahead to enroll in Medicare Advantage programs that help seniors who require special care.

CAQH Profile Setup & Management

Expert creation and maintenance of Council for Affordable Quality Healthcare (CAQH) accounts

Nursing Home Provider Credentialing

Full license assistance for nursing homes, skilled nursing institutions, and assisted living facilities that require physicians to care for seniors

Dual-Eligible Program Enrollment

Coordination of enrollment with Medicaid programs serving dual-eligible seniors requiring integrated services

Ongoing Compliance Management

Regularly planning revalidations and checking compliance to maintain ongoing Medicare and insurance network participation

Medicare Credentialing Services for Geriatrics

Our Nationwide Geriatrics Credentialing Coverage

At Credex Healthcare, we specialize in offering complete geriatrics credentialing coverage across the country. We thoroughly understand the requirements for Medicare and commercial insurance credentialing for geriatrics. Our knowledgeable staff makes sure that healthcare professionals follow all the rules and standards, potentially speeding up the onboarding process. We are committed to making it easier for providers to extend quality care to our elderly.

Medicare & Medicaid Enrollment

Complete Medicare credentialing through CMS and MACs, and Medicaid enrollment for dual-eligible senior populations

Medicare Advantage Networks

One of the few ways to receive Medicare Advantage is to strategically sign up for Humana, UnitedHealthcare, Aetna Medicare, and local MA plans.

Commercial Supplement Insurance

Coordination with Medicare supplement insurance carriers providing additional coverage for senior patients

Nursing Home Credentialing

Full licensure assistance for nursing homes, skilled nursing institutions, and assisted living facilities that provide specialized care for the elderly.

Stats

Our Geriatrics Credentialing Achievements

States with Geriatrics Credentialing

Average Medicare Enrollment Time

0 Days

Medicare Credentialing Success Rate

0 %

Faster Nursing Home Credentialing

0 %

Geriatric Provider Credentialing

Geriatric Provider Credentialing

Medical License Verification

Primary source verification ensuring that the geriatrician has current, unrestricted medical licenses from all the states where a provider operates or delivers services

ABIM Geriatrics Certification

The American Board of Internal Medicine's Geriatrics specialty certification demonstrates the provider’s specialized training and competence to practice elderly care.

Internal Medicine Board Certification

Verification of ABIM Internal Medicine certification is a prerequisite for geriatric medicine board certification.

National Provider Identifier Registration

Validate your CMS National Provider Identifier and your Medicare/Medicaid participation status.

Medicare Enrollment Verification

Working with Medicare Administrative Contractors to ensure PECOS registration and Medicare Part B enrollment

Malpractice Insurance Documentation

Current liability insurance paperwork that fits the standards of Medicare and other insurance companies for senior practice

Strategic Insight

The Best Insurance Credentialing for Geriatric Physicians

At Credex Healthcare, we understand that geriatric doctors have their own set of problems when it comes to getting their credentials. Our customized solutions make insurance credentialing easier, so you can concentrate on what really matters: giving your patients specialized elderly care. We make paperwork easier and cut down on delays with our experienced assistance and efficient credentialing operations.

Enrollment Command

Complete information on CMS, Medicare Administrative Contractors, and the guidelines for elderly care physicians to sign up for Medicare PECOS

ABIM Expertise

Expertise in American Board of Internal Medicine Gastroenterology certification and ongoing maintenance requirements.

Lead Expertise

Specialist knowledge on the requirements for a Medicare Advantage plan and managed care networks that provide specialized care for seniors.

Nursing Credentialing

Seamless coordination with skilled nursing facility and assisted living facility for nursing credentialing requirements

AGS Integration

The American Geriatrics Society sets professional regulations and quality standards for geriatric care across the country.

Dual-Eligible Program

Specialized expertise in Medicare-Medicaid coordination for dual-eligible senior populations requiring integrated care

12+

Years of Geriatrics Credentialing Expertise

100% Success

Geriatrician Credentialing Applications

98.5%

Medicare Enrollment Success Rate

Credex Healthcare, Geriatrics Credentialing Company

24/7 Support

Available for All Your Needs

100%

Customized Geriatrics Solutions

Our specialties

Specialties We are Offering

Testimonials

What Our Clients Say

Timeline for Geriatrics Credentialing

Geriatric Physician Credentialing Process

Week 1-2

Medicare & Insurance Application Submission

Compile geriatrics credentials, including ABIM certification, complete PECOS enrollment, and establish a CAQH profile with geriatrics details.

Weeks 3-4

Primary Source Verification

Medicare Administrative Contractors and insurance carriers request verification from medical schools, fellowship programs, and ABIM.

Weeks 5-7

Medicare & Insurance Review

CMS, MACs, and payer credentialing departments review geriatrics credentials, conduct background screening, and assess Medicare eligibility.

Weeks 8-9

Medicare Activation & Contract Execution

Medicare enrollment is activated, and insurance carriers furnish geriatrics contracts establishing reimbursement rates.

Week 10

Network Activation & Billing Setup

Medicare billing authorization confirmed; insurance payers activate network participation, and billing systems are configured.

Features

Credentialing for Nursing Home Physicians

Credentialing for nursing home physicians is an important step that ensures that healthcare professionals have the right credentials and satisfy the requirements needed to provide good care. This includes checking their education, training, work history, and any licenses that are applicable.

Facility Medical Credentialing

Comprehensive credentialing for medical directors of skilled nursing facilities and nursing homes

Medicare SNF Enrollment

Specialized Medicare skilled nursing facility enrollment and Part A billing authorization

Multi-Facility Coordination

Simultaneous credentialing across multiple nursing homes and assisted living facilities, ensuring efficient service delivery

Facility Privileging

Coordination of facility-specific privileging requirements alongside insurance network credentialing

Get Started

Establish Your Geriatrics Me dicare Credentials Today

Credex Healthcare’s geriatrics credentialing services make sure that all Medicare, Medicare Advantage plans, and senior care networks meet the standards for efficient and legal credentialing.

We have certified hundreds of geriatricians, which indicates that we are devoted to making it simpler for elderly care practices to register for Medicare and maximize revenue. We handle every step of geriatrics credentialing with experience and precision, from signing up for Medicare to getting a nursing home certification and joining Medicare Advantage.

Ready to establish your geriatrics Medicare credentials?

Contact Credex Healthcare today for a complimentary consultation and discover how we can accelerate your credentialing timeline and maximize your senior care practice revenue.

Schedule Your Free Consultation Now.

FAQS

Frequently Asked Questions

What is Geriatric Credentialing?
Medicare, Medicare Advantage plans, and insurance companies use a process called geriatric credentialing to make sure that geriatricians are qualified to work in senior care networks. This includes checking their medical licenses, getting board approval from the American Board of Internal Medicine (ABIM) in geriatrics, completing a geriatric medicine fellowship, going through a background check, maintaining liability insurance, and registering with the National Provider Identifier.
Credentialing services greatly help geriatricians since obtaining credentials as a geriatrician means following unique Medicare laws and working with nursing facilities, Medicare Administrative Contractors, and Medicare Advantage plans. To join Medicare via PECOS, you must submit specific documentation and undergo certain CMS verification requirements. You must be registered with Medicare and receive qualifications specific to the nursing home to work there.
It normally takes 6 to 10 weeks for geriatric credentialing to happen. Medicare Advantage programs typically receive their licenses in six to eight weeks. It might take an additional two to four weeks for accreditation of the nursing home, depending on what the center requires. By working directly with Medicare and making connections with MACs, professional certification services can frequently shorten wait periods down to 5 to 7 weeks. Allowing more providers to apply at once can expedite credentialing for multi-facility care homes.
Yes, you may and should use expert credentialing firms that specialize in Medicare and elder care networks to accomplish geriatric credentialing. Outside services handle Medicare PECOS registration, Medicare Advantage plan credentialing, nursing home facility credentialing, and private insurance participation. Professional services maintain contact with Medicare Administrative Contractors, which speeds up the processing of Medicare claims.
Yes, geriatric providers must revalidate Medicare enrollment every five years as required by the Centers for Medicare & Medicaid Services (CMS). Medicare revalidation makes sure that the doctor’s license is still current, that they are certified by the right authority, that their office location is proper, and that they are following all of Medicare’s regulations for participation. Professional credentialing services keep track of when Medicare revalidation deadlines are, make sure that all the documentation is sent in on time, and make sure that membership in Medicare doesn’t lapse.

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