top of page
Clinicians Header.png
blackcouple-counseling-scaled.jpeg

The need for mental health services has never been greater.

What We Offer:


Credentialing Requirements Maintenance

  • Ensure credentialing compliance standards are met per accrediting and regulatory agencies (i.e., CARF, JACHO, DHS, DBHDD).

  • Prepare and submit state Medicare and Medicaid enrollments and re-validations.

  • Thorough knowledge of CAQH, PECOS & NPPES, Availity applications.

  • Knowledge of commonly used concepts, practices, and procedures used in behavioral health credentialing.

  • Prepare provider files for government and regulatory agency credentialing audits.

 

Application Maintenance

  • Track and monitor incoming and outgoing credentialing requests, including maintenance of credentialing files.

  • Audit files, obtain credentialing documents, or additional information as required.

  • Track and follow up on all credentialing/recredentialing documentation as necessary.

  • Contact providers to clarify discrepancies.

  • Prepare and submit state Medicare, CMOs, and Medicaid enrollments and re-validations.

  • Prepare and submit private insurance credentialing applications.

  • Prepare and administer routine correspondence, memoranda, and notifications.

 

Special Projects

  • Offer Human Resources management in maintaining personnel records and preparing reports.

  • Recommend improvements to enhance department or agency efficiency.

  • Lead special projects with detailed action plans.

 

educator-events02.jpg

Contact Us to Start the Credentialing Process

Thanks for submitting!

bottom of page