Credentialing & Enrollment Services

Credentialing and Enrollment

Effective Credentialing and Enrollment is frequently the missing key to successful revenue cycle management.  While many organizations/practices work towards making improvements to their billing departments and/or hire billing experts, credentialing and enrollment is frequently the piece given little attention within an organization/practice.  With a small investment in credentialing and enrollment, frequently the return on the investment can yield higher margins.

InteCare takes care of your credentialing and enrollment needs and acts as your credentialing department.  No matter what the size of your organization/practice, InteCare’s expert credentialing specialists can ensure your clinicians are enrolled with each of your payors in order to maximize your revenue.

  • Initial enrollment with all payors, Medicaid and Medicaid Managed Care Organizations, Medicare and other Medicare Insurance, and all commercial insurers.
  • Maintain credentialing requirements for each licensed providers throughout the year, including CAQH
  • Re-credentialing

Primary Source Verification (PSV)

If you are a facility, health plan, ACO or other entity requiring primary source verification, InteCare can include primary source verification and can even provide full credentialing through the InteCare Credentialing Committee if needed.  We follow NCQA standards for all primary source verification.

  • Initial and re-credentialing/re-privileging
  • Verify state licensure
  • Verify DEA/controlled substances
  • Verify Transcripts and Residencies
  • Monitor disciplinary actions federally through the Office of Inspector General (OIG) as well as licensure boards of every state.

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