Credentialing Services
A key attribute to a practice's success is its ability to accept and
be contracted with the different medical insurance plans. These
managed care companies and government healthcare entities require
that the providers are credentialed ad contracted with their
organizations to ensure that the providers abide by their rules and
guidelines. This process is tedious and complex not to mention time
consuming and for most providers very frustrating. This is where our
credentialing team at CVI comes to the rescue. We streamline the
process to make it as smooth and easy as possible
Services include:
- Medical record coding/scrubbing of claims to include but not limited to reviewing for accuracy, addition of modifiers to minimize delays and increase first pass success rates
- Claims submission as determined by the payor – either electronically or via paper to ensure prompt processing
- Timely posting of payments to reflect accurate patient account status. Review and re-submission of denials and rejections and follow up on all outstanding claims to ensure a prompt resolution
- Monthly patient invoice processing
- Monthly reports of financial picture of your practice