Enrollment & Physician Credentialing
Services We Provide:
Credentialing & Provider Enrollment Maintenance Service
Provider credentialing, the process of getting a physician or a provider affiliated with payers, is a critical step in the revenue cycle.
CAQH Setup, Maintenance
and Attestation
The healthcare industry’s premier resource for self-reporting professional and practice information to health plans and other healthcare organizations.
NPPES Registration
The NPI (National Provider Identifier) Registry enables you to search for providers in the NPPES (National Plan and Provider Enumeration System) system. All information produced by the NPI Registry is provided in accordance with the NPPES Data Dissemination Notice
Address Updates
Practice information is used in claims processing. Keeping your information up to date helps ensure that patients can locate your practice and your claims process accurately.
Maintenance of Provider Qualifications
(DEA, License, Malpractice, etc.)
Recredentialing and Maintenance Services with Commercial Payers
Medicare & Medicaid
Re-enrollment
About us
What is credentialing and how it works:
Credentialing is a process by which insurance networks and healthcare organizations obtain and evaluate documentation regarding a medical provider’s education, training, work history, licensure, regulatory compliance record, and malpractice history before allowing that provider to participate in a network or treat patients at a hospital or medical facility.
Credentialing is a vital process for all healthcare institutions that must be performed to ensure that those healthcare workers who will be providing the clinical services are qualified to do so.
What we do:
Whether you’re a multi-specialty group or a solo practitioner, our experienced team of credentialing experts can take your organization through the entire credentialing process and recredentialing our credentialing services and enrollment related services you or your practice might need.
At CM& D Credentialing LLC, we understand each practice has their own needs to address. Our Credentialing specialists maintain a high degree of discretion and trustworthiness in the handling of confidential information associated with the credentialing process.
