IS CREDENTIALING AN IN-HOUSE PROJECT?
If you would like to be in the credentialing business be prepared for the following:
  • Poorly Reported Information
  • Lack of Compliance
  • Errors and Mistakes
  • Misinterpretations
  • Lack of Knowledge
  • Human Resources
  • Payroll & Training
  • Supervising
  • Hardware & Software Investment
  • MedCheck Gold Plan
  • Current valid license to practice
  • Graduation from medical school or professional equivalent
  • Residency verification
  • A valid DEA and CDS certificate
  • Medicare and Medicaid sanctions
  • Professional liability insurance
  • National Practitioner Data Bank (NPDB) claims/sanctions report
  • Current (employment) work history
  • Clinical Privileges in good standing at the hospital designated as the primary admitting facility

    MedCheck Platinum Plan
  • MedCheck Gold Plan plus:
  • Ongoing credentialing services including the update of expiration of:
  • Malpractice coverage
  • Licensure
  • DEA/CDS certification
  • Medicare/Medicaid Sanctions
  • dbf. data disk
  • Monthly practitioner updates

    Additional Services
  • Electronic processing of application
  • Physician on-site physical inspection of facility
  • Medical Record Review
  • Custom management reports
  • Pending malpractice claims
  • Pending civil litigation
  • DUI/DWI Automobile license check
  • Photographs of practitioner, office building, waiting and treatment rooms
  • Criminal background analysis
  • Services are Tailored to Meet the Specific Needs of the Client
  • *VOLUME PRICING AVAILABLE*
  • ESTIMATED COST OF IN-HOUSE
    CREDENTIALING OF 875 PRACTITIONERS

  • Employee cost (1)... $25,000.00 - $35,000.00
  • Benefits (20%)... $ 5,000.00 - $7,000.00
  • Credentialing Software... $20,000.00
  • On-Line Verification Costs... $4,000.00
  • Computers, Telephone, Office Space,
    Supplies, etc. (60%)... $15,000.00 - $24,500.00
  • TOTAL... $69,000.00 - $90,000.00
    (which can increase with volume)


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