Monitoring & Maintenance

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We Track Everything.

CredentialingOne can build a custom maintenance and monitoring program that works with your credentialing policies.

If providers’ credentials and documentation are not maintained and expire, they will be deactivated by payers.

 

When deactivation happens, claims get denied.

No longer will you need to update spreadsheets and calendars to monitor compliance.

Don't Get Caught With a Non-Compliant Provider

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CredentialingOne is here to help.

  • CAQH Quarterly Attestations:
    Every 120 days we will re-attest the provider – we also upload new documents as they are set to expire.

     

  • Monitoring Expirables:
    Email and text alerts to the provider when documents are nearing expiration starting at 120 days prior to expiring. We also provide you with a master report indicating providers with expiring documents at 120, 90, 60, and 30 days.

     

  • Re-Credentialing and Re-Validation:
    Commercial and Government Payers (Medicare, Medicaid, TriCare)

     

  • Demographic Updates:
    Address, phone, name change

     

  • Directory Updates:
    Medicare payers in particular request providers to verify their demographic information every 6 to 12 months. No Surprises Act - directory updates required every 90 days.

     

  • NPDB (National Practitioner Data Bank)
     

  • SAM and OIG Queries
     

  • Primary Source Verification
     

  • Practice Services:
    Radiology and CLIA Certifications

     

  • Malpractice
     

  • CE Credits

Need Help Monitoring Compliance?