Provider Credentialing

Provider Credentialing

Navigating the intricate process of provider credentialing can be a time-consuming and complex task. At AlterMed RCM, we specialize in simplifying this process for healthcare providers. Our experienced team ensures that your providers are credentialed efficiently, enabling them to focus on delivering quality patient care. We work closely with insurance companies, hospitals, and other healthcare organizations to expedite the credentialing process, reducing delays and ensuring compliance with industry standards.

Key Features

Credentialing Application Preparation and Submission

Our dedicated team manages the end-to-end application process, meticulously preparing documentation and submitting applications promptly. This comprehensive approach ensures accuracy and completeness, minimizing delays in the credentialing process.

Primary Source Verification

Rigorous verification processes guarantee the accuracy and currency of all credentials. We conduct thorough checks with primary sources to ensure that your practitioners’ credentials meet industry standards and regulatory requirements.

Ongoing Maintenance of Provider Credentials

Beyond initial credentialing, Altermed RCM takes on the responsibility of continuous upkeep. We ensure that your provider credentials stay current, compliant with industry standards, and aligned with any changes in regulations.

Strict Compliance with Accreditation Standards

Our commitment extends to maintaining strict compliance with accreditation standards. Trust us to keep your medical practice confidently accredited, meeting and exceeding industry benchmarks for quality and professionalism.

Expedited Credentialing Services

Recognizing the importance of time, our expedited services ensure a swift credentialing process. We expedite the necessary steps without compromising accuracy, allowing your practitioners to start contributing to your practice sooner.

Frequently Asked Questions

Q1: What is credentialing, and why is it important?

Credentialing is the process of verifying a provider’s qualifications to ensure they meet the standards of healthcare organizations and payers. It is crucial for providers to gain approval for payer reimbursements and ensure patient trust.

Yes, we manage payer enrollment with Medicare, Medicaid, and commercial insurers, including Managed Care Organizations (MCOs).

Credentialing typically takes 60-90 days, depending on the payer’s requirements and the completeness of provider documentation.

Yes, we assist with creating and maintaining CAQH profiles, ensuring accuracy and timely updates to avoid delays in enrollment.

Your Success, Our Commitment

Partnering with AlterMed RCM isn’t just about managing revenue; it’s about optimizing it. Your financial success is at the heart of everything we do. Join us on a transformative journey where precision, innovation, and partnership converge to elevate your healthcare revenue management.

Discover the AlterMed RCM advantage – Where Your Revenue Management is our Expertise!

What have we achieved

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Completed Projects
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Satisfied Clients
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Increase Revenue
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Team Members

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