Medical credentialing is a critical process that verifies healthcare providers' qualifications, professional backgrounds, and competence to ensure they meet the necessary standards for delivering care. The process involves validating credentials such as education, training, licensure, board certifications, etc.
The healthcare provider credentialing process is time-consuming and complex and requires extensive documentation and adherence to numerous regulations, such as those from the Council for Affordable Quality Healthcare (CAQH) and the Medicare Provider Enrollment, Chain, and Ownership System (PECOS). Likewise, inaccuracies in Primary Source Verification (PSV) or delayed provider enrollment also lead to compliance issues and delays in provider approvals, affecting patient care and reimbursement.
At Invensis, with over 24 years of experience, we specialize in delivering comprehensive medical credentialing outsourcing services for healthcare providers of all sizes eliminating all the billing challenges. We follow a well-structured workflow to ensure accurate credential verification and timely provider enrollment. Our services cover all key aspects, including primary source verification (PSV), provider enrollment, recredentialing, and ongoing monitoring.
We utilize advanced credentialing systems to efficiently verify, organize, and track essential provider information, from educational backgrounds to licensure statuses. Our expert credentialing services extend to compliance management with regulatory standards, conducting thorough background checks, and ensuring timely submission of documentation for payer enrollment.
Our medical credentialing experts implement rigorous quality control measures to maintain accuracy and efficiency in all credentialing tasks. By reducing administrative burdens, we allow swift and precise credentialing and help you focus on delivering high-quality care. We also follow strict security protocols to protect sensitive provider information, ensuring peace of mind along with exceptional service.