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Credentialing

We credential providers with all payers and we also do hospital credentialing.

Here is why MPM should be
your credentialing company of choice

Patient Safety

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Credentialing plays a critical role in safeguarding patient safety. By verifying the qualifications, education, training, and competence of healthcare providers, credentialing helps ensure that patients receive care from qualified professionals who meet established standards.

Quality Assurance

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Credentialing establishes and maintains standards of excellence within the healthcare industry. It ensures that healthcare providers meet specific criteria and have the necessary knowledge and skills to deliver high-quality care.

Professionalism and Ethics

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Credentialing promotes professionalism and ethical conduct among healthcare providers. By assessing providers' adherence to ethical guidelines and professional standards, credentialing reinforces the importance of integrity, honesty, and patient-centered care.

Reimbursement and Insurance Coverage

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Insurance companies often require providers to be credentialed in order to participate in their networks and receive reimbursement for services rendered. Credentialing helps ensure that providers meet specific standards set by insurance companies, facilitating the billing and reimbursement process. It allows providers to access a broader patient base and maintain financial viability.


Collaboration

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Credentialing enhances collaboration and coordination among healthcare providers. Verifying providers' credentials, it facilitates effective teamwork, referrals, and the exchange of patient information.

MPM Offers an Encrypted Platform to Manage your Credentials

Compliance Reports & Dashboard

Keep staff in compliance with alert notifications before any expiration deadlines.

Document Management

Securely store important documents and access them anytime, anywhere.

Workflow Management

Custom built workflows to help you track and manage your organization's process.

Pre-Populated Forms & Contracts

Send pre-populated documents for providers to electronically sign anytime.

Provider Portal

OneView access for your providers means effective and transparent communication.

Compliance Reports & Dashboard

Keep staff in compliance with alert notifications before any expiration deadlines.

Document Management

Securely store important documents and access them anytime, anywhere.

Workflow Management

Custom built workflows to help you track and manage your organization's process.

Pre-Populated Forms & Contracts

Send pre-populated documents for providers to electronically sign anytime.

Provider Portal

OneView access for your providers means effective and transparent communication.

Introducing the Best Credentialing Platform

  • Primary Sourced Data

    Provider data is pulled from primary sources for always up-to-date credentials, licensure, and certificate information.

  • Automated Alerts & Renewals

    Get alerted as DEA, state license, and board dates near their expirations.

  • Secure Storage

    Securely manage and store your providers' documents, credentials and licensure information in one accessible place.

Here is what our Credentialing
Team can do for you

"We believe that medical credentialing plays a vital role in ensuring the delivery of high-quality healthcare and patient safety. Through rigorous evaluation and verification of healthcare professionals' education, training, and competence, medical credentialing establishes a standard of excellence that instills trust and confidence in the healthcare system. Youā€™ll appreciate all that we do:

  • Emphasize Communication and Transparency of Credentialing Process
  • Maintain Confidentiality and Data Security
  • Establish Clear Criteria for each Insurance Application
  • CompleteĀ Applications Timely
  • Collaborate withĀ Providers
  • Consistently Following-up on the Status of each Application

By establishing a standardized framework for evaluating and recognizing competence, credentialing facilitates effective teamwork, referrals, and seamless transitions of care.

We Are Experts in getting you Credentialed with these Insurance Plans and more

Our best practices and step-by-step approach help us to get you the results you need.

Aetna

Anthem/BCBS

United Healthcare

Cigna

Humana

Medicaid

Medicare

Magellan Health

We ensure your credentialing experience goes smoothlyā€¦

  • Review and confirm CAQH is fully updated
  • Minimize application errors
  • Document every communication with payers to help you stay informed
  • Negotiate reimbursement rates to increase your revenue

OurĀ Credentialing ServiceĀ Is For You If...

  • You areĀ a newĀ provider joining a practice
  • You are starting an independent practice
  • YouĀ require hospital privileges
  • You are interested in increasing patient volume
  • You need additional support with handling billing inquiries

Ready to get started?

Fill out this form and let the journey begin!