Credentialing Management
Provider Enrollment and Credentialing is not just a one-time process, it is a continuous ongoing process. Soon after a provider gets in-network status, the credentialing management starts. What does Credentialing Management mean? Credentialing Management makes sure that you have uninterrupted in-network status, CAQH is attested in a timely manner, Medicare and Medicaid are revalidated when it’s due, licenses are renewed in a timely manner. If you lose your in-network status, your claims will be denied. The ripple effect will be on your reimbursement, claims will start getting denied meaning obstruction in your cashflow. CMM’s credentialing management services make sure that your in-network status is maintained throughout your professional journey, and you have uninterrupted cashflow.
Our Credentialing Management team ensures:
- CAQH Maintenance and attestation every 120 days
- Upload Business License
- Upload DEA License
- Upload Liability insurance
- Update change of information with IRS, Medicare, Medicaid, and CAQH
- EFT enrollment
- Medicare revalidation for organization and provider
- Medicaid revalidation for organization and provider
- Recredentialing and Maintenance with Commercial insurance carriers
- Business license renewal
- DEA license renewal
- Liability insurance renewal
- Provider Enrollment audit to make sure provider is enrolled correctly with insurance carriers
- NPI Registry
Who do we provide our Credentialing Management services to:
- Solo Physicians (MDs/DOS)
- Small to large groups/clinics
- Nurse practitioners
- Physician Assistants
- Professional Counsellors
- Chiropractors
- Physical Therapists
- Speech Therapists
- Occupational Therapists
- LMFT
- DME Companies