Credentialing Services

Credentialing is the process of confirming a provider’s qualifications to guarantee that they can care for patients. This process is required by the majority of health insurance companies as well as hospitals and operation centers.

The credentialing procedure for providers concludes with a verification of all of their documentation to confirm that they are legitimate and current.

This includes their medical license, malpractice insurance, and DEA.
Additional information is required to complete credentialing:
Medical School Information
Information about internships, residencies, and fellowships, including board certifications.
Provider’s CV

CFT Healthcare Provider Credentialing services can help you with provider enrollment and becoming an in-network provider, allowing you to earn reimbursements from each carrier. While medical credentialing services were once considered “optional” for establishing a practice, it is now more important than ever for doctors to be in-network with insurance firms.

Our Credentialing team provides a competent and comprehensive service to help you become an in-network provider with the insurance companies you want to work with. If you require assistance, we can provide you with recommendations based on an examination of your profession and services.

We also offer services to existing practices. Credentialing providers is a continuous procedure that must be repeated every three to five years. CFT Healthcare provides a service that includes re-credentialing, notifying you of expiration papers, and maintaining your CAQH profile.

When you’ve gathered your papers and are ready to begin, please contact us. We work with practices of all sizes, including solitary practitioners. Our team has vast knowledge and skill in a variety of services, including DME.

CFT Healthcare Medical Provider Credentialing Process

The healthcare provider, the company, and the payer all have a role in the medical provider credentialing process.
Typically, the organization provides the credentialing application(s) to the healthcare professional. He or she is responsible for finishing the application, which may be many pages long, and attaching all required papers such as board certification, college degrees, and so on. When the application is complete, the provider presents it to the organization for whom he or she intends to provide services.
The company is then responsible for attaching any extra evidence, such as claims history, background screening results, primary source verification, and so on.

After completing any healthcare facility components of the application and attaching any necessary documentation, they submit a finished application and accompanying documentation to the payer.
The payer evaluates the application to see if the healthcare provider fits the payer’s requirements. They will assess the provider’s education (including program accreditation), residency or fellowship, recommendations, malpractice claims history, licensure, and other factors.
This entire process is required when a physician first starts a new practice and then on a regular basis – usually every two to three years, depending on the payer.

Benefits Of CFT Healthcare Provider Credentialing Services

CFT Healthcare Medical Credentialing Services offers the following:

A team of professionals will navigate the paperwork.
Cost savings will allow you and your team to focus on what they do best: caring for your patients!
Updates on certification status biweekly.
Save time by letting us handle the paperwork for you.
Assistance with petitions for panel closure
Enrollment of major medical providers.
Payments from third party payers arrive considerably faster.

Other Credentialing Benefits:

The organization cannot bill for services provided by a professional unless all payers have approved the professional through the credentialing procedure. This makes medical provider credentialing a critical duty because delivering treatments that cannot be paid is neither possible nor sustainable for the organization.

The credentialing process guarantees that the provider fulfills the organization’s and its payers’ criteria, detecting risk factors early on and lowering the chance of negative consequences. As a result, credentialing increases patient trust in their physician and healthcare organization, preserves hospital revenues, reduces the risk of potential loss, and enhances the practice’s overall reputation.

Why Choose Us

We provide yearly maintenance by monitoring medical licenses, DEA/CDS, board certificates, and everything else with an expiration date, as well as tracking progress with CAQH and NPI updates.
Solutions range from single-provider clinics (solo or private practice) to big, multi-site, specialty medical institutions.
To prepare oneself for early risk detection in order to avoid poor outcomes and fulfill the high standards established by organizations and payers.
Provide help along the route to become an in-network provider who receives compensation from each insurer.
Medical practices can save money through outsourcing.