Credentialing & Re-Credentialing
At My Credentialing, our team of professionals maintain expertise in the provider credentialing process, including staying abreast of changes in the industry, credentialing trends, and payer requirements. As experts, we take on the credentialing process from start to finish. That means our team takes on all of the responsibilities that typically fall on your staff, freeing up your team to focus on more important tasks.
Get timely updates and a birds eye view of a entire credentialing process
Keep track of progress, track completion and collection of required documents.
Enroll for CAQH, and maintain practice profile with routine updates of records.
Send out applications to payers on time.
Excellence in Healthcare
Credentialing verifies the qualifications, experience, and professional standing of healthcare providers, ensuring they meet institutional and payer standards. This critical process maintains care integrity, compliance, and patient trust.
Key Aspects:
- Provider Validation: Verifies education, training, licensure, and certifications.
- Regulatory Compliance: Adheres to Joint Commission Standards, NCQA guidelines, and state licensing requirements.
Credentialing Process:
- Application Collection: Gathers provider documentation.
- Primary Source Verification: Confirms authenticity with issuing institutions.
- Background Checks: Reviews malpractice history and professional conduct.
- Committee Review: Assesses applications for approval.
- Ongoing Monitoring: Periodic reviews to maintain compliance.