Insurance Credentialing
Individual provider and group insurance credentialing with insurance payers (all states)
Medicare and Medicaid Credentialing (all states)
Consultation on the best way to credential your group practice or organization.
Credentialing Maintenance
Our Maintenance and Recredentialing Service focuses on efficiency and accuracy to help provider organizations, facilities, insurance companies, and small practices stay compliant with insurance credentialing and profile maintenance. Neglecting credentialing can lead to claim denials, so trust us to handle this critical task.
CAQH Maintenance: We manage CAQH attestation and updates, ensuring all documents are current and accessible to your insurance plans without you having to log in.
Medicare & Medicaid Revalidations: We handle the entire Medicare revalidation process for your organization and all associated providers, ensuring no lapses.
Payer Address Updates: We manage all address, phone number, and other payer updates as part of our service agreement, with minimal additional fees for larger projects.
Insurance Recredentialing: We take care of recredentialing with commercial PPOs and HMOs, including directory authentication, malpractice certificates, and CAQH verification.
License & DEA Maintenance: We ensure your providers' licenses, professional liability insurance, and DEA registrations are always up-to-date.
Dedicated Account Manager
​
Credentialing Maintenance Assessment for Your Organization
​
Consulting
Learn from Ivy’s knowledge and expertise on how to implement effective systems to optimize efficiency and increase revenue streams for your organization. We consult on Medicaid program implementation and compliance: AODE Licensure, Targeted Case Management, and Community Support Associate.
Some​ examples of what could be covered during the consults:
EHR setup, Billing issues, Billing basics, Credentialing questions, Troubleshooting credentialing, EDI enrollments (Medicare), Medicare/Medicaid enrollments, Electronic Remittance Advice & Electronic Funds Transfer enrollments with insurance payers, Demographic updates with insurance payers, Credentialing basics, Medicaid regulations, Medicaid provider types- choosing a provider type for your group, Choosing a taxonomy code, NPI registration, CAQH troubleshooting, CAQH registration, and other topics pertaining to practice management.
​
​Private practice startup: We consult with and offer a service package for provider’s who are transitioning to private practice. Learn everything you need to know about transitioning to private practice: choosing and setting up your EHR, billing, ERA enrollments, EFT enrollments, and more.
​
Managed Billing Projects
Our Managed Billing Project-Based Service helps behavioral health providers, group practices, and organizations optimize billing, boost productivity, and maximize revenue. We offer assessments of current billing processes, support with denied claims, and guidance on in-house billing management.
Key Features:
-
Billing Process Assessment: We identify inefficiencies and improve operations to capture all eligible revenue while reducing delays and costs.
-
Claim Denial Management: We address denied claims, resolve root causes, and implement strategies to prevent future denials.
-
Revenue Optimization: We improve billing accuracy, increase claim acceptance rates, and speed up payment cycles to enhance cash flow.
-
In-House Billing Consultation: We provide training and support to help your team manage billing effectively in-house.
-
Tailored Solutions: Our services are customized to meet the needs of your practice, whether small or large.
-
Ongoing Support: We offer continuous guidance and collaboration to ensure long-term success.
Partner with us to streamline your billing processes, resolve denials, and maximize revenue while maintaining operational efficiency.
Credentialing Masterclass
Join our 8-week, real-time series to master the credentialing process for major insurance payers in your state (including Medicare)! This hands-on training provides you with the opportunity to ask questions and receive personalized feedback from Ivy throughout the course. Designed for organizations looking to handle credentialing in-house, this series equips your team with the skills and knowledge needed to complete the credentialing process independently, without outsourcing.