Contracting & Credentialing
Contracting Services
Contracting involves establishing formal agreements between healthcare providers and insurance payers, outlining terms such as reimbursement rates and service obligations. Our Contracting Services Include:
Contract Management
Our team manages the entire contracting process, from initiation to execution, ensuring all terms are clearly defined and understood.
Renewal and Amendment Handling
We monitor contract expiration dates and manage renewals or amendments as needed.
We continue to push the contract through to the finish line by handling any additional requests.
Benefits of Outsourcing Contracting:
Improved Revenue
Contracted with all of your top payers in order to increase your volume.
Time Savings
Outsourcing frees up your time, allowing you to focus on patient care and practice growth.
Risk Mitigation
Our expertise helps avoid common pitfalls in contract terms that could negatively impact your practice.
Credentialing Services
Credentialing is the process of verifying a healthcare provider's qualifications to ensure they meet the standards required by payers and regulatory bodies. This includes validating education, training, licensure, and work history. Our Credentialing Services Include:
Primary Source Verification
We meticulously verify all provider credentials, including licenses, certifications, and education, directly from the issuing sources.
CAQH Profile Management
We assist in creating and maintaining up-to-date CAQH profiles, ensuring seamless data sharing with payers.
We provide adding new Providers to your Roster on your existing contracts who require full credentialing.
Ongoing Monitoring
We continuously monitor for expirations and renewals of licenses and certifications to maintain compliance.
Compliance Assurance
Our team stays abreast of the latest regulatory requirements to ensure your practice remains compliant.
Benefits of Outsourcing Credentialing
Reduced Administrative Burden
Free your staff from time-consuming credentialing tasks, allowing them to focus on patient care. Neolytix
Expertise and Accuracy
Our experienced professionals minimize errors and expedite the credentialing process.
Cost Efficiency
Outsourcing can lead to significant cost savings by reducing the need for in-house credentialing staff.
Are You Getting Denials Due to Out-of-Network Status?
Contact us today. We can help resolve out-of-network issues and streamline your revenue cycle for faster payments.