Re-Credentialing

Re-credentialing is re-viewing and re-verification of the professional credentials. Credentialing and re-credentialing processes of providers is time-consuming and protracted in health care plans and this is universally disliked by doctors and physicians.

Re-Credentialing

Re-credentialing is re-viewing and re-verification of the professional credentials. Credentialing and re-credentialing processes of providers is time-consuming and protracted in health care plans and this is universally disliked by doctors and physicians. However, in Maxremind Inc., re-credentialing is considered as important and essential for the maintenance of quality of care provided because it also provides the information about the type of services and its quality, provided.

Re-enrollment and re-validation

For all larger healthcare systems, maintaining the track of provider re-credentialing and re-enrollment is a wearisome and monotonous process but it is handled and dealt with great efficiency at Maxremind Inc. Re-enrollment in re-credentialing is a necessary evil and is required after every three to four years, re-validation is required and needed every five years and CAQH-attestations is done after every 120 days in all healthcare systems. Here, at Maxremind Inc., to avoid the reimbursement issues and late payments, we get the practitioners re-enrolled and re-validated before the due date.

Provider Directory

Here at Maxremind Inc., provider’s directory is updated in the re-credentialing process and it includes the information like the provider’s credentials, provider’s address, demographics, specialties and the provider’s service location and provider’s other information. Healthcare Provider Directory is formulated by United States of America. HPD Profile supports and enables the querying about the provider information and maintains the information in a directory form.

Credentialing Applications

Maxremind Inc. is well known company that uses medical credentialing software for carrying out the processes more technologically. We are using the electronic credentialing application system by which providers are enabled to apply online for credentialing and submit their applications so, in this way our credentialing team is enabled to manage the credentialing process in a better and in the easiest way. Paperwork takes a lot of time in processing and creates mess. Doing a paperless work does not mean that scanning of the provider’s credentialing application is simple and easy rather it requires much rethinking and reconsideration on the provider’s application, but with Maxremind, these complications are handled with great care.

Fee schedule review and Analysis

Maxremind Inc. reviews the fee schedule in re-credentialing process. We manage our revenue cycles in the best way by reviewing and analyzing our fee schedules on the regular basis with the assistance of experienced and highly qualified accountants and finance managers. For this, we increase the credentialing fee according to the requirement and our customer’s interests and ease are considered as the first priority in the process of credentialing.