*
Solutions

Credentialing

We help your organization streamline, monitor, verify, and update your credentialing challenges

Help with meeting internal write-off requirements
Evaluation is customized to your community, based on data points including:
Credential new providers with in-network carriers
Medical Staff reappointments
PECOS maintenance for providers enrolled
Review current provider files, to ensure accuracy
NPI individual registrations (for newly licensed providers) • Verify current roster of providers with each in-network carrier
Monitor licenses & other documents for upcoming expiration/renewal dates
MCC (Minnesota Credentialing Collaborative) database maintenance for providers enrolled
CAQH database maintenance for providers enrolled, annual attestations
Ongoing re-credentialing & re-validation requests for in-network carriers
Add/remove locations, and demographic updates, with in-network carriers
Develop provider/payer matrix for tracking purposes
Review & develop internal standard operating procedures for credentialing
Assist in writing corrective action plans re: credentialing, as needed
Update emails & calls with involved team members at Client organization

A Unique Approach

PSB*MARS uses a holistic approach to understand all the facets of your business, from cash flow and profit distribution to accounting and tax with our Credentialing Partner. We know that addressing one issue within your Credentialing process may impact other elements of your business, so we work alongside you and offer training and support that is appropriate to your needs. Many of PSB*MARS’ credentialing partners’ highly skilled professionals have firsthand experience working in health care organizations, so they know the industry — right down to the quirks of the insurance companies you work with every day. We understand the challenges of Credentialing, and you shouldn’t have to face them alone.