Medical Staff Services

We provide a full suite of medical staff support services, including expirable tracking and reporting, commercial and governmental payor enrollment services, primary source verification, facility privileging application support, and compliance consulting.

BENEFITS OUR MEMBERS EXPERIENCE

  • Cut the red tape

  • Increase practice revenue

  • Streamline processes across multiple organizations

  • Optimize efficiency and cost management

  • Enhance collaboration and tracking

  • Stay in compliance

  • Partnerships

  • Compliance management

  • Source verification

  • Efficiency among departments

  • Payor enrollment

  • Relationship management

  • Compliant processes & systems

  • Reporting & tracking

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Reducing administrative burden associated with complex application procedures, leading to improved provider satisfaction and more time dedicated to patient care.

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Diminishing revenue loss associated with delays in payor enrollment or privileging.

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Streamlining processes associated with obtaining medical staff membership or clinical privileges at multiple organizations.

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Delivering highly efficient services and predictable cost management.

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Developing customized dashboards that allow providers and practice managers to easily track and report requirements for credentialing, privileging, ongoing professional performance evaluation (OPPE), and accreditation.

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Providing subject matter expertise in regulatory and accrediting requirements, which decreases compliance risk.

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Partner with medical staff offices of health systems, hospitals, ASCs, and other sites across the U.S. to provide application and privileging support for both initial and reappointments.

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Provide extensive compliance management services, such as OIG/SAMS/State exclusion monitoring, tracking board of licensure requirements, and administering medical staff bylaws.

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Conduct primary and secondary source verification for initial and re-appointment.

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Develop efficient processes and coordination among essential departments, including recruiting, revenue cycle, and others.

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Provide comprehensive payor enrollment services, including CAQH maintenance, NPI registration and monitoring, revalidation, provider/facility maintenance, and Medicare and Medicaid revalidation, and PECOS.

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Leverage relationships with a wide range of commercial and governmental payors to ensure efficient, expedited processes.

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Develop and maintain processes and systems that are compliant with various regulatory and/or certifying agencies, such as AAAHC, OIG, boards of licensure, and others.

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Create easy-to-use provider reports to track licensing and other requirements.

BUILD A SMARTER, MORE EFFECTIVE PRACTICE

dedicated to patient care