Credentials Plus by Medical Management Solutions
Our Credentials Plus solution is the ultimate solution for your credentialing needs! When you enroll in Credentials Plus, you no longer have to worry about keeping up with your various insurance contracts and credentialing documents. Our Credentials Plus program includes:
- Credentialing/Contracting from start to finish with the commercial insurance payors of your choice. This service allows you to enroll with unlimited payors for one low monthly fee.
- Messenger Model negotiation with Managed Care plans and other commercial payors on your behalf to help you obtain the highest possible reimbursement from your insurance contracts.
- Processing of government applications/contracts such as Medicare, Railroad Medicare, DMERC, TriCare and Medicaid.
- Hospital credentialing and completion of re-appointment paperwork to maintain your privileges with hospitals, specialty hospitals and surgical centers.
- CME Tracking – Tracks CME/Continuing Education hours by provider to help you better manage your hours.
- Regular reminders of important expiring documents such as State Licenses, DEA License, State Controlled Substances registrations, Board Certifications, Hospital Privileges and medical malpractice insurance.
- Assisting your office with address, phone number and Tax ID changes.
- Complete credentialing of new providers in your office and termination of providers no longer employed by your organization.
Our Credentials Plus solution also helps you ensure you are receiving the maximum possible reimbursement on all your procedures by performing the following services:
- Annual fee schedule/charge master analysis to ensure you are charging the right amount based on your rates with Medicare, Medicaid and your commercial insurance payors.
- Assistance and recommendations for pricing new procedures performed in your office to maximize reimbursement