Provider Credentialing Services

Complete credentialing management that gets your providers on panels faster.

Expert Credentialing for Seamless Provider Enrollment

Our comprehensive credentialing services ensure your providers are enrolled with all necessary payers and facilities quickly and accurately, with ongoing compliance management.

We handle initial credentialing, recredentialing, hospital privileges, CAQH maintenance, and ongoing monitoring to keep your panels active and compliant.

With our expert credentialing team, you can eliminate credentialing delays, reduce administrative burden, and ensure continuous revenue flow from all panels.

Our Approach

We combine detailed process management with expert knowledge of payer requirements to ensure complete and compliant credentialing.

Quality Assurance

Every credentialing file undergoes comprehensive review and every application is verified for accuracy before submission.

WHAT'S INCLUDED

Complete Credentialing Management

Every aspect of provider credentialing covered for maximum efficiency and compliance.

Initial provider enrollment

Re-enrollment and revalidation

Payer panel applications

Hospital privileges applications

CAQH profile maintenance

License verification and renewal tracking

DEA registration and renewal

Board certification verification

Malpractice insurance verification

Sanctions and exclusions screening

Ongoing monitoring and compliance

Credentialing file management

OUR PROCESS

Credentialing Workflow

Eight-step process ensuring complete and compliant provider enrollment.

1

File review and gap analysis

2

Document collection and verification

3

Application preparation

4

Submission to payers/hospitals

5

Status monitoring and follow-up

6

Approval tracking

7

Panel activation

8

Ongoing compliance monitoring

PERFORMANCE METRICS

Credentialing Excellence

Measurable results that drive your revenue cycle success.

100%

Credentialing Accuracy

<60 days

Average Turnaround Time

100%

Recredentialing Compliance

>95%

Payer Panel Activation

CHALLENGES WE SOLVE

Credentialing Complexity Made Simple

We handle the complexities so you don't have to.

Challenge 1

Lengthy credentialing processes

Challenge 2

Complex documentation requirements

Challenge 3

Multiple payer-specific applications

Challenge 4

Ongoing recredentialing deadlines

Challenge 5

Sanctions and exclusions monitoring

Challenge 6

Provider panel management

Challenge 7

Compliance with changing regulations

FAQ

Frequently Asked Questions

Answers to common questions about our credentialing services.

How long does the credentialing process take?

Initial credentialing typically takes 60-90 days, depending on payer requirements. We provide weekly status updates and work expeditiously to activate panels as quickly as possible.

Do you handle hospital privileges as well?

Yes, we manage the complete credentialing process including hospital privileges applications, medical staff appointments, and ongoing compliance requirements for hospital affiliations.

How do you ensure compliance with recredentialing deadlines?

We maintain a comprehensive tracking system that monitors all recredentialing deadlines and initiates the process 120 days in advance to ensure no lapses in panel participation.

What is CAQH and do you manage it?

CAQH (Council for Affordable Quality Healthcare) is a standardized credentialing database used by most commercial payers. We maintain complete and accurate CAQH profiles for all providers.

How do you handle sanctions and exclusions monitoring?

We conduct monthly screenings of all providers against the OIG Exclusion List, SAM.gov, and state Medicaid exclusion databases. Any issues are immediately reported and resolved.

Ready to Streamline Your Credentialing Process?

Schedule a free consultation to see how Aethera can accelerate your provider panel enrollment.

RELATED SERVICES

Complete Revenue Cycle Management

Additional services that complement our credentialing expertise.

Compliance & Auditing

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Eligibility Verification

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Prior Authorization

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