Recredentialing & Maintenance
Credentialing is a forever on-going process that needs to be monitored and completed every 2-3 years, depending on the network requirements.
- Government networks, Medicare and Medicaid, require re-credentialing (also known as revalidation) every 3-5 years.
- Besides the required re-credentialing, some networks also mandate that you submit renewable documents when those items have been issued a new expiration date. This includes all medical licensure, DEA’s, malpractice policies, CLIA’s, business licenses, etc. It’s important that you know exactly what each network requires, and those rules are abided by.
- If you fail to submit documents or recredentialing by the appropriate time frame, your in-network participation status is at risk for termination.
- Some networks also require quarterly directory validations which requires an online application.
Let our team handle the hassle, endless paperwork and guessing game on your behalf.
Our team also offers maintenance packages at a yearly flat rate fee for all providers and practice types. Please contact us for more information on how we can assist your on-going needs.