Skip to content Reduce the administrative burden of surgical facility credentialing and accelerate provider onboarding with our streamlined industry solution. By carefully simplifying the process, we provide surgeons and surgical facilities with the tools they need to easily comply with all regulatory requirements while still providing the best care for patients.
With a team of experienced professionals and advanced technologies, Credex Healthcare provides personalized solutions. These practices simplify the credentialing process for surgical specialists and their credentialing needs. They can now focus on giving patients exceptional surgical care.
Surgeons and surgical centers credentialed nationwide, establishing surgical network participation.
Average processing time for surgery credentialing is achieved through expert documentation and streamlined verification.
First-time approval rate demonstrating a thorough understanding of surgical payer credentialing standards.
Surgery provider credentials processed, giving specialists confidence in our proven expertise.
Credex Healthcare is a reliable surgery credentialing service. Our professionals make the whole process simple for surgeons from different practice types. We help you accomplish success in an ever-changing credentialing scenario through our transparent and effective physician credentialing services.
We know that doctors and surgery sites have special licensing needs. Thus, we provide expert assistance in both hospital privileges and insurance company enrollment. Our all-around services ensure that operating room rights, hospital approval, and involvement in insurance networks are processed together without any issues.
Complete Surgery Credentialing Services Include:
Our expert consistently coordinates surgeon credentialing applications with Medicare, Medicaid, and commercial insurance companies for provider credentialing in surgery centers.
A dedicated expert creates and maintains Council for Affordable Quality Healthcare profiles with surgery-specific details for surgeons.
Ambulatory surgery centers and outpatient surgical facilities are fully enrolled with insurance companies through surgical center insurance enrollment.
Complete coordination of hospital medical staff appointments and operating room privileges alongside insurance credentialing for surgeons.
Finish signing up for Medicare and Medicaid for surgical services, which covers both professional surgeon fees and facility billing.
Assist in fulfilling the requirements for The Joint Commission and other entities to certify surgical facilities through credentialing for outpatient surgery centers.
Credex Healthcare has been helping physicians specializing in surgery, such as general surgeons, orthopedic surgeons, cardiovascular surgeons, and neurosurgeons obtain insurance credentials for over a decade. Our team of experts understands what kinds of documentation surgery centers need to be recognized, the types of insurance they require, and the list of regulations they need to meet. We take care of the full procedure for surgeons, outpatient surgical centers, and medical groups seeking credentialing.
Our expert handles the process of ambulatory surgical center enrollment for surgical facilities that bill Medicare facility fees.
We handle the entire process of signing up with Blue Cross Blue Shield, UnitedHealthcare, Cigna, Aetna, and local surgical networks.
We handle the complex process of providing hospital professionals with privileges to perform surgical procedures.
We assist outpatient facilities that provide surgical care in acquiring permission from the state and the Joint Commission.
Primary source verification of current medical licenses from all states where a provider offers surgical services
Verifying the provider’s American Board of Surgery certification which demonstrates that they are qualified in their surgical specialty
Proof of internship and fellowship completion in subspecialties, such as neurology, general surgery, orthopedic surgery, or cardiovascular surgery
National Provider Identifier
CMS National Provider Identifier registration for physicians and groups administering operating facilities
Malpractice Insurance
Proof of current malpractice insurance that fulfills the demands of surgical practice payers and hospital privilege rules
Surgical Competency Documentation
Verification of surgical case records, maintenance of surgical privileges, and verification of board subspecialty certification in surgery
Credex Healthcare is a specialist in providing comprehensive provider credentialing services for surgery, suiting the demands of both medical insurance companies and hospital systems. We verify that physicians satisfy all the requirements imposed by hospitals’ medical staff offices and insurance companies. Because we know how to get surgical licenses, medical facilities can concentrate on taking care of patients.
We have a deep understanding of surgery credentialing requirements and the surgical specialty enrollment process.
Our expert recognizes how crucial it is to have specific credentials and be board-certified for surgery.
CAQH Command
Our credentialing experts provide exceptional CAQH management proficiency for surgery providers.
Full understanding of how to register outpatient surgical facilities and independent mobile surgery clinics
We ensure compliance with The Joint Commission accreditation standards and surgical quality measures.
Expert supervision over the qualifications of the hospital's medical personnel, designation of operating room privileges, and registration of insurance
12+
Years of Surgery Credentialing
100% Success
Surgeon Credentialing Applications
96.5%
Insurance Enrollment Success Rate
24/7 Support
Available for All Your Needs
100%
Customized Surgery Solutions
General Surgery
Jack
Administrator
Saneha
“We needed to get both the facility and the surgeon approved before we could open our outpatient surgery center. Credex took care of everything, from enrolling in Medicare ASC to getting commercial insurance panels and Joint Commission accreditation.”
Orthopedic Surgery
Lois
“Subspecializing in orthopedic surgery meant getting credentials from a number of hospitals and insurance networks. Credex knew what credentials were needed for orthopedic subspecialty, and they handled the entire process professionally.”
COO
Martinez
“Running four surgery centers in three states was hard because it was challenging to get all the facilities and surgeons’ credentials. Credex took care of all the locations, managed enrollment across multiple states, and made sure that all the rules were followed.”
Cardiovascular Surgery
Anderson
“To offer heart surgery services at more than one hospital, we had to get credentials from several insurance companies and medical staff offices. Credex made it simple and quick to coordinate multiple facilities and enroll in payer networks.”
Application Submission
The process starts with organizing the documents required for credentials, including board certification, surgical training documentation, and a complete CAQH profile.
Primary Source Verification
Our experts help in the essential process of primary source verification for medical schools, surgical training programs, and licensing.
Hospital Privileging & Review
Credentialing experts verify the credentials of surgeons and choose who may practice in the operating room. Payer credentialing offices ensure that standards are strictly applied.
Contract Negotiation & Network Activation
Insurance firms send out surgical contracts, determine the reimbursement rates, billing arrangements, and initiate network activation.
We provide all credentialing solutions for both solo physicians and surgical group offices. Our experts ensure that doctors have the required qualifications to work in hospital surgery teams and multi-specialty surgical groups.
Our multi-specialty surgery credentialing includes various surgery subspecialties, such as orthopedic surgery, cardiovascular surgery, neurosurgery, plastic surgery, and urologic surgery.
We perform simultaneous credentialing for multiple physicians and surgical centers, which ensures that credentials are handled coordinately.
Our specialist establishes and maintains CAQH accounts for surgeons, which makes it easier to handle credentials in one database.
Hospital professionals can provide exceptional surgery services and become eligible to operate in more than one hospital.
Credex Healthcare’s surgery credentialing services make it easy and fast for all surgical insurance networks and hospital systems to get their credentials. It doesn’t matter whether you are a freshly board-certified surgeon obtaining your first insurance contract or the proprietor of a surgery center expanding practice.
We are committed to making the entire process of surgical credentialing simpler. We have approved thousands of physicians and surgical facilities for over a decade. We handle the complete surgical credentialing procedure, from signing up your surgery facility for Medicare to gaining hospital privileges and joining private insurance networks.
Ready to establish your surgery insurance credentials?
Contact Credex Healthcare today for a complimentary consultation and discover how our specialized surgery credentialing services can accelerate your credentialing timeline and maximize your practice revenue.
Schedule Your Free Consultation Now.
Physicians and surgical facilities need the necessary credentials to work with hospital systems and insurance companies. This is what surgery credentialing does. The entire process typically includes checking the provider’s medical license, making sure the board certification is still valid from the specialty surgical boards, keeping records of residency and fellowship training, making sure the surgery center is accredited, checking the surgeon’s surgical competencies, and registering for a National Provider Identifier.
It normally takes 8 to 12 weeks to get surgical credentials. This is how long it takes for the surgeon to gain permission to work at a hospital and utilize insurance. Hospitals that conduct surgery need to sign up for Medicare ASC registration for 8 to 10 weeks. It takes commercial insurance companies 6 to 8 weeks to provide physicians with their credentials.
We provide comprehensive licensing services for both surgical facilities and individual physicians. To be credentialed as a surgeon, you have to sign up with insurance companies and obtain privileges from a medical facility. To be credentialed, a surgical center must be part of a Medicare ASC network, be on panels for private insurance, have clearance from the Joint Commission, and follow state credentialing rules.
Credentialing and hospital privileging are two processes in practice management that are related but distinct from each other. Credentialing looks at a surgeon’s experience, education, medical license, and board qualifications, among other things. Privileging goes a step further by identifying which operations and treatments a surgeon can conduct at that facility.
Yes. We assist physicians in setting up their entire CAQH accounts and signing up for Medicare. You need to check your credentials, send in material that is pertinent to your subspecialty, and keep your CAQH profile up to date. When surgeons and operating facilities sign up for a Medicare ASC network, they also bill surgical fees and facility components.
Surgeons and surgical facilities cannot bill insurance companies or schedule surgery at hospitals when their credentials lapse. Additionally, providers whose credentials already expired cannot submit subsequent claims to their insurance carriers. When this happens, hospital privileges can be terminated, making the provider ineligible to perform surgical procedures. You must go through the full procedure again to recredential.
As a surgeon, you must deal with complicated patient care, making time for surgeries and
Unless you are certified by insurance companies, you will be leaving money on the table
When it comes to making sure that people get quality healthcare, credentialing is very important
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