Credentialing
Services
Medical credentialing requires continuous maintenance and updating with various underlying dependencies that can become an administrative burden for your practice.
Allow are dedicated service team to provide you with ongoing support for credentialing, maintenance and re-credentialing while you focus on your practice.
Credentialing process
Here is all that we do for your
To get approved by healthcare insurance providers quickly, we assist you in knowing the specific document requirements. Even small mistakes or missing information can cause delays of days or even months. To make sure you have all the necessary documents, we make a list of the insurance companies you want to work with and look up what they require. When submitting the documentation, we include all required information including your name, Social Security Number, education and career history, proof of insurance, and other relevant data. This information is usually found in your resume, but make we double check so that everything is accurate and submit all required documents to avoid any delays.
To get more patients, we assist you in your need to register with big payers and apply to more than one. But, first, we help you choose the ones you want to apply to most. We are well versed with the requirements and rules of each payer hence we help you speed up your registration process.
We make sure your credentialing application is accurate and of high quality by double-checking all the relevant documents. We verify your licensing, board certification, reputation, clinical privileges, and references through trusted sources such as ECFMG, AMA, and ABMS. We also review your credentialing history, insurance claims, and any restrictions listed with the OIG.
Some organizations require applying for credentials from Council for Affordable Quality Healthcare (CAQH) along with your personal application. After we have applied your application, they’ll invite you to apply with a CAQH number. Completing CAQH online or offline is optional.
The credentialing process with the payers begins! We make sure that your application is filled correctly and include all the necessary documents.
It’s important to build relationships with the people in charge of paying you. We help with your application getting processed on time. We main an active follow up with the payers to see how your application is progressing.
When you are getting approved to work with health insurance companies, they may add some rules to the agreement. You don’t have to agree with everything they say. It’s important to talk to them and make an agreement that is good for both of you. We help you negotiation and close agreements with the Payers which offers the most value to your practice.
After we finish the process, you can work with their patients, but it’s not permanent. You need to keep updating information regularly. You’ll need to renew your credentials every three years. We keep track of the timeline and remind you when it’s time to renew. More importantly, we build and a good relationship with insurance company officers to make things easier and faster with the your recredentialing needs.
avail the benefits
Our credentialing service has helped healthcare achieve success in numerous forms.
With our Credentialing Services you can expect the following
Quicker Credentialing with all significant payers
Increase in Patient referrals from the network
Timely Reporting on the status of applications
Support in Filing cumbersome application forms
Save on Paperwork with our cloud document management system
Speak with our representatives today and discover the difference we can make for you.
Services
100% HIPAA Compliant
Support
24/7 Quality Support
Accuracy
98% Clean Submissions
Success
99% Client Retention
Explore more from
Our full suit of revenue cycle management services
Medical Coding, Billing Documentation and Account Receivable Management
Every procedure and diagnosis is coded correctly, leading to accurate claim creation and submission thereby compensating your practice timely and accurately for every service rendered.
Demographics, Eligibility Verification and Prior Authorization
Our coherent demographics, eligibility verification & prior authorization procedures ensure seamless checks before administering services, thereby decreasing claim rejection probabilities.
Denial Management
Turn denials into opportunities. Our specialists navigate the intricate paths of denied claims, ensuring potential losses transform into recoverable revenue.
Ready to sign up?
We are ready to welcome you aboard
When you decide to go with MAARS as your billing partner, you’ll receive more than just a service provider – you’ll have a partner that works to ensure the financial health of your practice.
Here are some benefits to look forward to:
- Increased Revenue
- Time and Resource Savings
- Improved Accuracy
- Compliance Assurance
- Peace of Mind