Service
Credentialing is invisible until it fails, and when it fails it stops your billing entirely. Almost all of that failure is calendar management that nobody owned.
Applications to commercial and government payers are prepared, submitted and chased through to an effective date. Enrollment timelines are largely set by the payer, so the work is in submitting a complete application first time and following up persistently rather than in making a payer move faster than it moves.
CAQH ProView profiles require re-attestation on a rolling cycle, and an expired profile can stall credentialing decisions at every payer that pulls from it. Attestation dates, licence and malpractice expiries, and practice location changes are tracked rather than left to an email reminder someone will miss on holiday.
Medicare enrolment has to be revalidated on a cycle, and missing it can deactivate billing privileges. Revalidation dates are tracked on a calendar with lead time, alongside commercial re-credentialing cycles, so the work starts before the deadline rather than after a rejection.
What is included
| Medicare revalidation cycle | Every five years for most providers, every three for DMEPOS supplierssource: CMS, Revalidations |
|---|---|
| CAQH profile | Requires periodic re-attestation to stay activesource: CAQH ProView |
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Send an aging summary and a handful of denials. You get a written read on what is recoverable — no fee, no obligation to sign anything.
