Credentialing Services

Credentialing Services

January 26, 2018 - 4:04 pm
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                                                         Credentialing Services

 

Providers must continuously monitor and manage networks, direct payer contracts and privileges at various organizations.  Strivant Health can manage the entirety of the credentialing process ensuring provider documentation is accurate while optimizing contract terms to improve reimbursement.

  • CAQH: Provider documentation and licensure can be centrally managed eliminating the need for duplicate information to be sent to various organizations.  Strivant Health manages the CAQH process for our clients.
  • Facility Privileges: Local market conditions can change rapidly requiring providers to obtain privileges at multiple institutions.  Strivant Health can navigate and manage the application processes on behalf of providers.
  • Payer Contracts: Providers must be knowledgeable about the various alternatives in each market.  Strivant Health supports IPA, direct payer contracts or a combination of the two.
  • Payer Negotiations: Strivant Health will work on behalf of our clients to assess, negotiate and recommend changes to maximize provider reimbursement.  With decades of experience and comparative data, Strivant Health can support the optimization of reimbursement rates.