Reliable Credentialing Services for Your Business
Ensure your healthcare providers are qualified and compliant with our thorough credentialing services, designed to help you navigate complex regulations.
Ensure your healthcare providers are qualified and compliant with our thorough credentialing services, designed to help you navigate complex regulations.
Medicare and Medicaid Provider Enrollment
We take care of your enrolment with Medicare and Medicaid, ensuring accurate documentation and submission so you can serve a wider patient base.
Commercial Insurance Enrollment
Our team manages your enrollment with commercial insurers, helping you expand your network and maximize patient reach.
NPI Registration (Type I and Type II)
We register your National Provider Identifier (NPI) for both individual (Type I) and organizational (Type II) providers, ensuring compliance with standards.
CAQH Registration and Maintenance
We register and maintain your CAQH profile, making it easier to share provider data with participating health plans.
PECOS Registration and Maintenance
Our services include managing your PECOS profile, streamlining Medicare enrollment and keeping it up to date.
Contract Negotiation
We assist with contract negotiations to secure favorable terms, helping you optimize reimbursement rates and contract conditions.
Re-credentialing
We handle the re-credentialing process with insurers and regulatory bodies to ensure uninterrupted, compliant service.
Provider State License Management
We manage the application and renewal of state medical licenses, ensuring you meet state regulations without disruption to your practice.
We handle the entire credentialing process, allowing you to focus on patient care..
Our experts ensure all licenses, certifications, and qualifications are fully verified.
We keep your practice compliant with evolving regulations to avoid penalties.
We monitor credentials and alert you to any upcoming renewals or changes needed.
Streamline your practice's enrollment process with our comprehensive payer network solutions
Expert assistance with enrollment in all major government healthcare programs, including Medicare, Medicaid, TRICARE, and other federal programs.
Comprehensive enrollment support for major private insurance networks, including Blue Cross Blue Shield, United Healthcare, Aetna, Cigna, Humana, and other commercial programs.
Yes, you can see patients while your application is being processed, but you may not be able to bill the insurance companies for services rendered until the credentialing process is complete.
Re-credentialing is typically required every two to three years, depending on the policies of the insurance companies and regulatory bodies.
Credentialing allows providers to bill insurance companies for their services, ensuring they can serve a wider patient base and receive proper reimbursement.
The process can vary, but it typically takes between 30-90 days depending on the provider and the organization.
Without proper credentialing, providers cannot legally practice or receive insurance reimbursements, potentially leading to compliance issues for healthcare organizations.
VSETS provides comprehensive virtual support and tailored business solutions designed to streamline operations, and accelerate business growth.
Our sales team is available
24/7 to answer your queries.
Copyright © 2024. Vsets.us All Rights Reserved.
