MEDICAL CREDENTIALING
“ Say goodbye to your credentialing concerns and experience a highly efficient enrollment process.”
CareCloudMed serves as a credentialing service provider, dedicated to assisting physicians in preventing delays in healthcare claim submissions, surpassing filing deadlines, saving time, and avoiding revenue loss during the credentialing process. Our seasoned team efficiently handles credentialing, making your journey through provider enrollment and MD credentialing smoother.
Credentialing & Re-Credentialing
We guarantee the absolute accuracy of the credentials provided by the practitioner and conduct regular reviews for additional verification helping out to get your initial or revalidation applications processed effectively.
Devoted Crew
A group responsible for finalizing credentialing information and submitting it to commercial insurance providers, Medicare, and Medicaid, in accordance with the requirements of healthcare practitioners.
Adherence
CareCloudMed's Physician Credentialing Services guarantee alignment with the standards set by the National Committee for Quality Assurance (NCQA) and HIPPA guidelines to make sure your information is protected.
Essential Follow ups
As a provider of credentialing services, we take care to ensure that all necessary follow-up actions are executed correctly to facilitate a seamless enrollment process.
Portal Registration
Create and update CAQH & NPPES, Optum, Availity and commercial insurance’s provider portals.
Agreement Challenges
We resolve contracting issues and maintain data integrity through audits. Our negotiation team helps negotiate the contracts and get you the best reimbursement rates.
Credentialing: Did You Know?
- Through the implementation entail the collection of information about a physician's background and qualifications through a formal application, which is then validated against trustworthy sources such as the National Practitioner Data Bank or the American Board of Medical Specialties.
- For approximately 15 years, the Coalition for Affordable Quality Healthcare has provided a standardized MD credentialing program, which has been widely embraced by the majority of healthcare payers in the United States.
- Usually, when approached by a hospital, HMO, or employer, physicians are expected to respond to a set of 800 questions, covering details that span from licensure to their practice history over the past five years.
