Healthcare Credentialing Services
Experience trusted and rapid healthcare credentialing in just a few simple steps. Our comprehensive solutions cover all aspects of Hospital Credentialing Services, ensuring efficiency and peace of mind for your practice.
Healthcare Credentialing Services
Efficient. Thorough. Proven.
Our clients typically do not have the technology, expertise or staff needed to successfully manage the Credentialing Life Cycle. They turn to STAT MedCare for ways to improve revenue, reduce costs and improve outcomes. STAT MedCare manages the entire healthcare credentialing life cycle for its clients, handling the entire process apart from signing documents. Whether you are looking for physician credentialing, nurse credentialing, medical staff credentialing, hospital credentialing, mental healthcare credentialing or insurance credentialing, our experts can efficiently and effectively cater to all your credentialing needs. We have a proven record of removing barriers, increasing revenue, and reducing denials associated with our detailed and precise health trust credentialing process. Our approach to partnering with our clients is to do the right thing, at the right time, and for the right price. The result? Clients for life!
Our certified healthcare provider credentialing specialists work with healthcare organizations throughout the five stages of the Business Life Cycle. During the growth of a healthcare organization, it will go through each of the five stages of the business life cycle listed below, encountering different challenges that require a different mix of services offered by STAT MedCare. For instance, while the services listed in the growing and expanding stages are the same, the mix of services our clients use, and the degree to which each service is used, may be different.
What stage of the business life cycle is your healthcare organization in?
- STAGE 1: CONCEPT
The development or concept stage is the beginning of the business life cycle. At this stage, the client is brainstorming ideas about the business they want to start. It requires research, gathering feedback and, in some cases, market testing to determine if the idea is worth pursuing as a new business.
Some Challenges:
- New business will be profitable
- Is there a market?
- Structure of the business?
- Resources needed to be successful?
STAT SERVICES YOU MAY NEED:
- Research
- Consultation
Take the next step.
Take the next step.
- STAGE 2: STARTUP
The development or concept stage is the beginning of the business life cycle. At this stage, the client is brainstorming ideas about the business they want to start. It requires research, gathering feedback and, in some cases, market testing to determine if the idea is worth pursuing as a new business.
Some Challenges:
- Market presence established?
- Patient and referral base established?
- Is there sufficient cash flow?
- Do you stay out of network or become contracted?
STAT SERVICES YOU MAY NEED:
- Payor Enrollment (commercial, Medicare, Medicaid)
- Appeals
- CAQH – New Applications and/or Update Applications & Quarterly Attestations
- NPI Application(s) and/or update NPI profile(s) Hospital privileging (new) Licensing (new) FCVS Establishment DEA/CPS (new)
- NPI Application(s) and/or update NPI profile(s)
- Hospital privileging (new)
- Licensing (new)
- FCVS Establishment
- DEA/CPS (new)
Take the next step.
- STAGE 3: GROWING (OR SURVIVING)
The development or concept stage is the beginning of the business life cycle. At this stage, the client is brainstorming ideas about the business they want to start. It requires research, gathering feedback and, in some cases, market testing to determine if the idea is worth pursuing as a new business.
Some Challenges:
- Management team effective?
- Impact of market competition?
- Do you have solid referrals?
- Revenue being maximized?
- Increase in number of denials?
- Addition of new products, services, or providers?
STAT SERVICES YOU MAY NEED:
- Payor Enrollment (commercial, Medicare, Medicaid)
- Appeals
- CAQH – New Applications and/or Update Applications & Quarterly Attestations
- NPI Application(s) and/or update NPI profile(s) Hospital privileging (new) Licensing (new) FCVS Establishment DEA/CPS (new)
- NPI Application(s) and/or update NPI profile(s)
- Hospital privileging (new)
- Licensing (new)
- FCVS Establishment
- DEA/CPS (new)
Take the next step.
STAT SERVICES YOU MAY NEED:
- Managing contracts & Fee Schedules
- Fee schedule negotiations
- Updating Network Directories
- Removing Reassignments
- Hospital privileging (new/renewal)
- Licensing (new/renewal)
- FCVS Establishment
- DEA/CPS (new/renewal)
- Managing and reporting expirables
- Updating Network Directories
- Removing Reassignments
- Hospital privileging (new/renewal)
- Licensing (new/renewal)
- FCVS Establishment DEA/CPS (new/renewal)
- Managing and reporting expirables
Take the next step.
- STAGE 4: EXPANDING (RAPID GROWTH)
During the expansion stage, our clients have a thriving company and have established themselves in the industry. They are now ready to expand into new markets whether local, regional or national. They need new sources of revenue and cash flow to finance their expansion.
Some Challenges:
- Market presence established?
- Patient and referral base established?
- Is there sufficient cash flow?
- Do you stay out of network or become contracted?
STAT SERVICES YOU MAY NEED:
- Payor Enrollment (commercial, Medicare, Medicaid)
- Appeals
- CAQH – New Applications and/or Update Applications & Quarterly Attestations
- NPI Application(s) and/or update NPI profile(s) Hospital privileging (new) Licensing (new) FCVS Establishment DEA/CPS (new)
- NPI Application(s) and/or update NPI profile(s)
- Hospital privileging (new)
- Licensing (new)
- FCVS Establishment
- DEA/CPS (new)
- STAGE 5: ESTABLISHED (MATURITY)
After successfully expanding (locally, regionally or nationally), our client businesses are at the top of their industry, established and typically stable. They have a dominant presence in the market(s) they serve and the growth rate of the business has slowed.
Some Challenges:
- Increased competition?
- Entering new markets?
- Addition of new products, services, or providers?
- Expanding, and maintaining, existing business?
STAT SERVICES YOU MAY NEED:
- Re-credentialing
- Quarterly CAQH Re-attestations
- Updating NPI Profiles
- Revalidating Medicare/Medicaid
- Updating Network Directories