Credentialing and Enrollment Made Easy

Credentialing for Inpatient Rehab Facilities (IRF) and Skilled Nursing Facilities (SNF)

Inpatient Rehab Facilities (IRF) and Skilled Nursing Facilities (SNF) have their fair share of difficulties to face; from ever-changing legislation, to a complex Medicare reimbursement system, to fluctuating financial targets—it’s a lot to keep track of. On top of it all, many facilities today are operating on thin margins in the face of inadequate Medicaid reimbursement and declining private-pay population numbers. With all of this to manage, it’s crucial to find a solution that facilitates billing health insurance providers and payer credentialing in one centralized source.


CredentialMyDoc for Inpatient Rehab Facilities (IRF) and Skilled Nursing Facilities (SNF) makes it easy to enroll your facilities and serve more patients.


With CredentialMyDoc, you’ll tackle Medicare/Medicaid credentialing and payer credentialing and manage both facility credentialing and provider enrollment with a single solution. The result? Competent patient care, increased efficiency, and improved revenue performance.


Tap into a single source of truth to manage the entire care continuum, tap into CredentialMyDoc.


CredentialMyDoc and VerityStream

MGMA Corporate Member - VerityStream

As the most experienced credentialing and provider enrollment company in the country, VerityStream understands that Inpatient Rehab Facilities (IRF) and Skilled Nursing Facilities (SNF) face a unique set of challenges. As we worked side by side with our clients to identify the most efficient way to facilitate Medicare/Medicaid credentialing, we recognized that CredentialMyDoc’s solutions were intuitive, easy to use, and fast to implement, especially in non-privilege-granting settings. That’s why CredentialMyDoc joined the VerityStream family in 2019 and is now being offered to our Inpatient Rehab Facilities (IRF) and Skilled Nursing Facilities (SNF) customers.


CredentialMyDoc makes billing health insurance easy.

CredentialMyDoc Solution Graphic
Rewarded
Value over volume will be rewarded. Pressure to shorten stays, reduce readmissions and utilize the most efficient level of care will continue to mount.

Shared Agreements
Entering into shared savings / bundled payments agreements, an approach that links quality and costs in an episodic payment framework, will continue to gain traction.

Computer
Senior living operators will have to care to more complex healthcare needs while simultaneously remaining attractive to young, technologically savvy seniors.

Platform

  • Verify licenses and certifications, including exclusions, sanctions and disciplinary actions for all your providers including; primary care physicians, nurse practitioners, physician assistants, behavioral healthcare providers, clinical assistants, pharmacists, and pharmacy technicians
  • Deliver a one-stop shop for providers and stakeholders to view and complete tasks
  • Monitor health plan credentialing requirements
Inpatient Rehab Skilled Nursing Facility Credentialing and Enrollment Platform
Inpatient Rehab Skilled Nursing Facility Credentialing and Enrollment Form Content

Content

  • Access 7,000+ payer enrollment forms (PDF and Online) and a rosters library for delegated entities
  • Automate credentialing and enrollment reports, schedulable events, and workflows

Data

  • Rest easier with the largest pre-validated database of U.S. healthcare professionals powered by FSMB and other public data sources, at your fingertips
  • Make informed decisions with insights on time to revenue, pending claims, and procedure volumes against national benchmarks
  • Benefit from ongoing maintenance, including re-attestations, tracking, and updating expiring credentials
Inpatient Rehab Skilled Nursing Facility Credentialing Data
VerityStream CVO

VerityStream NCQA-Certified CVO Services

Sometimes outsourcing your initial and/or re-credentialing processes may be your best option. When that’s the case, you can count on our expertise to handle files either in an overflow or full-service capacity. VerityStream CVO can support all your provider credentialing needs, including application management and verification.


Outsource with VerityStream CVO

CredentialMyDoc for Facilities

Related Content

5 Things You Need to Know Now About Provider Data, CAQH, and CAQH Enrollment and Integration

Oct 17, 2018, 17:16 PM by System.Collections.Generic.List`1[Telerik.Sitefinity.Model.IDataItem]
CAQH is helping drive the goal of reducing healthcare costs by streamlining the way provider data is maintained and improving credentialing and enrollment processes.

According to research led by the Council for Affordable Quality Healthcare (CAQH), a non-profit alliance of health plans and related associations, there are several key issues that contribute to the persistence of provider data inaccuracies. To address these issues, core principles were identified to guide the development of an industry solution.


Discover the vision for a healthy provider data ecosystem that is centered around the following four critical components:


  • Governance
  • Defined set of "fundamental" provider data elements
  • A centralized authoritative solution
  • An incremental approach