Proper paperwork and follow-up is paramount in maintaining provider and staff credentials.

Hiring new physicians and mid-level providers requires time and effort to have them properly credentialed. QPS assists clients in all credentialing needs for managed care plans, provider networks, surgery centers, hospital staff privileges, etc. We also negotiate the establishment of reimbursement levels in these contracts based on standards per specialty. Our office maintains redundant hard-copies and electronic files of all supporting documentation on behalf of our clients.

We can also help you with insurance-required re-credentialing and follow-up. We evaluate existing contracts and determine if renegotiation may be necessary, then assist in the negotiation process. Our legal partner specializes in managed care contracts to ensure beneficial contract terms.

Proper credentialing can take from 3-9 months depending on the plans. Our credentialing department has developed a follow-up system to make the process efficient, completing credentialing in the shortest time possible. We also document all correspondence and conversations during this process for review if needed.