Medical & Medicare Credentialing Services
Get a trusted medical and Medicare credentialing experience in just a few steps. Our all-inclusive range of services, from A to Z, precludes any facet of Hospital Credentialing Services so that your practice operates smoothly and hassle-free.
Efficient. Thorough. Proven.
Normally, the ability, expertise, and staff required to manage the Credentialing Life Cycle are unavailable in our client's organization. Our clients contact us at STAT MedCare to help find ways of augmenting revenues and trimming costs to attain better outcomes. Therefore, at STAT MedCare, we handle the complete Medical Credentialing Life Cycle on behalf of our clients, managing the whole process from start to finish, except for signing the documents. Be it Medicare credentialing, Medicaid credentialing, physician credentialing, nurse credentialing, medical staff credentialing, hospital credentialing, mental health credentialing, or insurance credentialing, every requirement of medical credentialing companies will be proficiently handled by our experts. We are efficient and effective, with proven records of eliminating obstacles, increasing revenue, and reducing denials due to the minute and accurate health trust credentialing process. We believe it is important to do the right thing at the right time for the right price to be a good partner for our clients.
The result? Clients for life! and Our Clients consider us as the best medical insurance credentialing services company in the USA!
Through the five stages of the Business Life Cycle, our team of Medicare and Medicare credentialing specialists assists healthcare organizations. The five stages of the business life cycle below are passed through throughout the development of a healthcare organization. These all pose various difficulties and hence require a different mix of the services offered by STAT-MedCare. The services that are in the various stages, for instance, growing and expanding, are the same, but the mix of services our clients utilize and the degree to which each service is used may vary.
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