Credentialing & Contracting
Credentialing & Contracting
Credentialing: Verification of a healthcare provider’s qualifications, licenses, and background to ensure compliance.
Contracting: Establishing agreements between providers and payers to define reimbursement and payment terms.
Why Choose Halo for Credentialing & Contracting?
Seamless Process
We handle the complexities of credentialing and contracting, so you don’t have to.
Faster Approvals
Reduce delays and get credentialed with payers more quickly.
Maximized Reimbursements:
Ensure favorable contract terms and optimize revenue.
Regulatory Compliance
Stay fully compliant with industry regulations and payer requirements.
How It Works:
Physicians dictate patient details during or after appointments and uploads the voices files on Dropbox.
Verifying educational degrees and certifications.
Performing background checks.
Confirming active and valid medical licenses.
Reviewing malpractice history.
Benefits
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To safeguard patients by ensuring provider competence.
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To comply with regulatory standards.
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To mitigate risk for healthcare organizations.
How are Credentialing and Contracting Interrelated?
Credentialing is often a prerequisite for contracting. Payers want to ensure that providers they contract with are properly qualified.
A successful credentialing process paves the way for a smooth contracting process.
Essentially, Credentialing proves the provider is capable, and contracting establishes the business terms of how that provider will be paid.
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