Services:
• Ongoing monitoring of current documentation.
• Credential and re-credential all your managed care groups for you.
• Generate and mail, scan, email, pre-filled credentialing applications with provider specific data directly to the provider to initiate the credentialing process.
• MCS - Review of the application for required attached documentation.
• MCS -Review of the curriculum vitae for gaps in the provider’s work history.
• MCS - Review of the application for completeness and follow up telephone calls are made to obtain outstanding information. Any omission of required data elements are noted on a summary sheet.
• MCS - Will make Comparisons of the application information to the verification information received with a notation of any discrepancies.
• MCS - Assist with completion of application for Medicare / Medicaid.
• File for NPI number.
• Perform site visit / office visit with managed care groups on a local bases or out of town for a flat fee.
• Review and attest CAQH - for Provider and physicians
• Assist in filling out the Texas Standardize Credentialing form
• PHP/ IOP Managed Care Contracting ( Behavioral Health)
application for IOP licensure ( Behavioral Health)
Managed Care Contracting
Negotiation & Re-Negotiation
Research Project Management
MCS - Assist in Quality Assurance
Clinical trail studies ( outsource)
BIlling Solution - Billing Software (Outsource)