Comprehensive consulting solutions for every dimension of healthcare operations — from credentialing to business growth.
One of the most demanding tasks for any payer is establishing a new provider network or expanding an existing one. Many factors must be considered, such as the payer's revenue and growth trajectory, potential for the network to lower medical costs, and viability of the network to meet the member's needs.
These are just a few keys to a successful network build and expansion, and we explore how important they are to network administration. Since the contracting and credentialing involved is often time and labor-intensive, organizations rely on CredNet to streamline requirements and direct the who and what required to accomplish these tasks.
Which provider network strategy are you looking to overhaul?
Our credentialing consulting services are designed to help healthcare providers and organizations navigate the complexity and often confusing process of obtaining and maintaining credentials — or verifying them in a timely manner.
The consequences of incorrect or delayed credentialing can be severe. Providers incorrectly managed can be terminated from payer networks, lose hospital admitting privileges, and see dramatic reductions in new patients and revenue.
We offer a wide range of services, including:
Closely related to — and often confused with — credentialing, provider enrollment entails submitting a request to be enrolled as a provider with an insurance payer or requesting hospital privileging, so that providers can treat patients and receive payment.
Enrollment can be a very time-consuming and frustrating process. Each payer has their own unique requirements depending on the type of plan (state, federal, or commercial), often involving multiple forms and required documents. Missing even one detail can result in serious reimbursement consequences.
With CredNet's guidance, you can avoid devastating revenue delays and ensure your reimbursement keeps flowing:
With thousands of provider groups, medical practices, and ambulatory systems across the US, our goal is to drive improvement and optimize revenue. Each client has varied goals and objectives, and this allows CredNet to reach the best fit for your business goals.
We bring opportunities that could lead to outsourcing or streamlining internal processes and functions, enabling our clients to enhance margins and reduce processing time.
Areas impacted include:
We understand the importance of having a strong online presence in the healthcare industry. We will work with you to revamp your website, improve your brand, and increase your online visibility.
Services include:
We help you develop and implement a marketing and advertising strategy to increase patient and provider acquisition. This includes both traditional and digital approaches tailored to your organization's goals and target audience.
We assist you in identifying new business channels, opportunities, and expanded revenue streams — positioning your organization for long-term, sustainable growth.
CredNet will help you identify the highest-impact areas for your organization. Reach out for a no-obligation conversation.
Talk to CredNet