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Credentialing / Contracting

Work smarter not harder. Let us show you how. From private practice to corporate health care organizations, Catalyst helps you maximize operational efficiency and optimize profitability.
Our Credentialing & Contract Maintenance Services:

Catalyst offers providers an active maintenance program for contracting, credentialing and privileging needs to take the burden off of your office staff. The following areas are included in our Contracts Maintenance Program:

  • Maintain participation status with contracted plans including commercial and government payors

  • Provide ad-hoc managed care contract support for physician contracts with all contracted payors

  • Coordinate updates or changes in reimbursement schedules with your billing company or office management for upload to billing software

  • Provide language and fee schedule review for new contracting opportunities

  • Communicate changes in provider product offerings and identify opportunities for managed care contract re-negotiation as well as new contracting opportunities that emerge. (Contract re-negotiations will be quoted separately as requested)

  • Provide ongoing support and updates to billed charges, as necessary.

Credentialing and Privileging Maintenance Program:

  • Coordinate and oversee licensure maintenance and expiration dates (medical, DEA, DPS, malpractice insurance) including notification to providers before expiration. (Provider is responsible for actual completion of the required renewal)

  • Maintain providers CAQH account and attest so file will stay current. This also includes submitting updated licensure and malpractice face sheets

  • Maintain provider credentials files (for Texas practices, ensure that Texas Standard Application is current) to include all personal, licensure, and demographic information

  • Complete reappointment applications and complete paperwork requests for hospital membership and privileges

  • Complete re-credentialing documentation for managed care plans

  • Act as a liaison between the provider and the hospital and/or managed care plans

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