Ensuring Seamless Credentialing and Regulatory Compliance
At Centriix, we understand that credentialing and compliance are vital components for healthcare providers to remain operational, bill insurers, and get reimbursed promptly. Our comprehensive credentialing and compliance services are designed to make sure your practice meets all regulatory requirements, maintains up-to-date credentials, and avoids costly penalties. We handle all aspects of the credentialing process—from initial application submission to ongoing monitoring of credentials—so you can focus on patient care while we ensure your practice stays compliant with industry regulations. Whether you're a solo provider or a multi-specialty group, our customized RCM solutions scale with your needs to ensure your financial success.
Sub-Segments We Cover
01
Provider Credentialing
We assist healthcare providers in getting credentialed with payers and insurance companies. Our experts handle the application process, ensuring all required documents are submitted and processed accurately, reducing delays.
02
Credentialing Maintenance
We continually track and manage the expiration of credentials, ensuring that your providers’ credentials remain current and valid. We handle re-certification processes and make sure all updates are completed in a timely manner.
03
Regulatory Compliance Monitoring
We keep your practice in line with constantly changing healthcare regulations. Our compliance experts monitor and implement any new regulations that impact your practice, ensuring you’re always compliant with federal, state, and payer-specific guidelines
04
Government & Private Payer Enrollment
We help you navigate government and private payer enrollment processes, ensuring you meet all the specific requirements for participating in both Medicare, Medicaid, and private health plans.
05
Audit & Documentation Management
We ensure all your documentation is in order for potential audits. Our team helps you prepare for and manage audits, ensuring that all documents required for the credentialing and compliance process are readily available
Our Credentialing & Compliance Process
Numbers That Matter
At Centrixx, we empower businesses with smart solutions that simplify complexity and drive growth. Combining advanced technology with industry insight, we help clients stay ahead in a changing world. Our mission is to deliver reliable, scalable solutions while building lasting partnerships for long-term success.
Compliance with Healthcare Regulations
Successful Credentialing Rate
Faster Credentialing Process
Provider Enrollment with Top Payers
Providers Credentialed Annually
Improvements We Deliver
Our team ensures that credentialing applications are processed swiftly, reducing the average time it takes for providers to be fully credentialed with insurance companies
We continuously monitor your compliance status to prevent any lapses in certification and ensure that all required updates are completed on time.
By ensuring that your providers are properly credentialed and compliant with payer requirements, we help avoid delays in reimbursements, accelerating cash flow.
We help prepare your practice for audits by keeping your documentation organized and ensuring that you’re always ready for regulatory inspections or payer reviews.
What We Offer
Frequently Asked Questions
How long does the credentialing process take?
Credentialing typically takes anywhere from 30 to 90 days, depending on the payer and the type of credentialing. However, we work diligently to expedite the process.
What happens if a provider's credential expires?
If a provider’s credential expires, they may be ineligible for reimbursement. We monitor all credential expiration dates and manage the renewal process to prevent any lapses.
Can you help with both government and private payer enrollment?
Yes, we assist with enrolling providers with both government programs (e.g., Medicare and Medicaid) and private insurance companies
How do you ensure compliance with changing regulations?
Our compliance experts stay updated on industry regulations and ensure your practice remains compliant with federal, state, and payer-specific guidelines.
Do you offer audit support?
Yes, we prepare and manage all documentation needed for audits, ensuring your practice is ready for any potential reviews or inspections
Schedule a Demo
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