PROVIDER CREDENTIALING FOR MEDICAL FACILITIES
Speed up credentialing providers from months to minutes so your facility can earn lost revenue, cut administrative work, and focus more time on patient care.
Prevent millions in lost revenue
In the time it takes to credential physicians, facilities lose all the money these providers would be earning them. That’s up to $1.2 million per provider on average in lost revenue. Let us help you get that money back.
Save time credentialing providers
The credentialing process takes up to 20 hours of administrative work per provider. Cut that time down with instant credential verification, expiration reminders (goodbye spreadsheets!), storage of important credential documents, and OIG monitoring.
Simplify provider management
Ready Doc lets you manage all of your providers in one place with a single click. That includes notifying them of expiring credentials, reminding them to upload required documents to the platform, and having the choice between custom messages and automated messages.
Package Medical Credentials
Ready Doc™ offers provider credential packaging, an easy way for facility managers to digitally package a custom collection of verified documents into a secure, sharable folder.
Ready Doc™ Credentialing+
Ready Doc™ Credentialing+ combines the power of our core Ready Doc system with payor enrollment capabilities and CAQH integration. PLUS also offers full-service CVO capabilities for primary source verification.
Frequently asked questions
What is provider credentialing?
The definition of provider credentialing is the process of reviewing licensed health professionals’ qualifications to ensure they have the required training and experience to effectively and safely practice medicine. Credentialing medical providers require education, licenses, specialty certificates, training, and residency. This must be completed every time a provider starts at a new practice or moves to a new state. Then providers must complete payer applications to enroll with insurance plans and be granted privileges to perform specific procedures.
How long does credentialing providers take?
How long it takes to credential a provider can greatly vary. It depends on: the provider turning in all the necessary paperwork in a timely manner; their application information being accurate and complete; their references swiftly responding to verification requests; and the board being available to meet. If none of these things are delayed, credentialing can be done within weeks. If one or more are delayed, it can take up to six months. With Ready Doc, though, the whole process can be done in a matter of minutes, thanks to our hashgraph technology allowing documents to not have to be verified more than one time—eliminating a redundancy that costs providers months of lost income and practices millions in lost revenue.
What are the requirements for credentialing a provider?
After the practitioner has been cleared for credentialing, the typical practice follows the following steps to credential them:
- Give them instructions and required documents, such as an NPBD self-query
- Send their completed CV and application to the malpractice provider, initiating coverage
- Begin the IT login credentialing process flow
- Send the practitioner’s name, license number, and NPI to lab and radiology
- Check important sanctions with the Office of Inspector General (OIG)
- Start background check application and the American Medical Association (AMA) verification
- Finish collecting paperwork from the practitioner
- Schedule a meeting with the credentialing board directors
- Get charting and delineation of privileges reviewed and approved
- Create an appointment letter for a two-year period
Does Intiva Health offer credentialing services?
No. Intiva Health is not a CVO (Credential Verification Organization). Like CAQH (Council for Affordable Quality Healthcare), we’re a useful tool along the way, but we don’t actually offer credentialing services or primary source verification. We also do not currently have integrations with CAQH Proview to help complete your CAQH application. We’re a credential management platform that lets you organize, share, and manage medical credentials in a fast, secure way.
Does Intiva Health offer provider enrollment for insurance plans?
Not yet. We have relationships with payers and are in the process of developing this capability.
How is credential management different from credentialing?
Intiva Health offers credential management services, where we help make the credentialing process easier for you, from giving you a central place to upload and share credential documents to speeding up the verification process from months to minutes. Provider Credentialing is the actual process we’re helping you with, but we don’t do it for you like a CVO. This allows you to have control over these services while letting us keep it completely free.
Whats the difference between provider enrollment and credentialing?
Provider credentialing and provider enrollment are two essential processes that must be completed in order for a health care provider to begin working in the industry and receive reimbursement payments from a health insurance plan. While they are similar in that each process can be considered a form of accreditation, their respective purposes differ.
Nevertheless, it is common for workers in the health care industry to either confuse the two courses of action or be unaware of their differences. Both processes are fundamental functions of the health care industry.
Therefore, it is important to understand the distinctions with respect to how each procedure plays a role in authorizing a health care worker to begin their duties.
While the processes are separate, their underlying co-dependency showcases a compelling argument to consider a single platform that accomplishes both tasks and eliminates the redundancy of manually collecting and inputting practitioner data into a multitude of documents.
How much does Ready Doc cost?
Not a single dime. Ready Doc is completely free for both licensed providers and medical facilities. It will always be free too, setting us apart from other credential management services.