Physician Credentialing and Insurance Contracting

Physician Credentialing and Insurance Contracting 2020-10-17T08:33:12-04:00

Looking to develop and manage a wound care and hyperbaric program as an independent facility? Getting contracts from commercial and government entities can be a laborious and time-consuming process. See if our experts in this process can help you get on your way to a solid foundation of contracts for your services.

  • Review and assess current credentialing process if applicable
  • Determine the current status of each provider on all major insurances
  • Enroll each provider on available insurance panels
  • Establish and maintain provider binders throughout term of Agreement
  • Obtain provider information for CAQH such as: Medical License; DEA certificate; Liability Insurance; NPI number; etc
  • Submit all providers necessary applications and documents to obtain hospital privileges as required; maintain reappointments
  • Maintain re-credentialing of insurnace panels as required
  • NPI /CAQH registration and monitoring
  • Provider document maintenance: updating medical license, DEA's, CME, etc.
  • Medicare & Medicaid initial enrollement and revalidations
  • Contract negotiation; annual re-negotiations and upkeeping

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CORONA VIRUS UPDATE

During this pandemic, we will try and minimize risks to patients and staff. Guidance changes frequently, so we may need to change our recommendations over time.

We ask that all patients come into the office wearing a mask. Masks may be removed at the instruction of the staff for hyperbaric oxygen therapy.

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