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Catalyst Consulting

IPA / PHO & CIN MANAGEMENT

Catalyst Consulting offers unparalleled services for Independent Physician Associations, Physician Hospital Organizations and Clinically Integrated Networks

Primary Source Verification Services​

We offer robust verification services that include:

  • Primary Source Verification of Licenses

  • Work History

  • DEA or CDS certifications

  • Board Certifications

  • Medical Education

  • Postgraduate Training

  • Professional Liability Insurance

Catalyst Consulting
​Sanctions Monitoring and Reporting

Our services extend to:

  • Sanctions Monitoring

  • Medicare/Medicaid Sanctions

  • NPDB Queries

  • Malpractice History

  • Medicare Opt-out Monitoring

  • Peer References Verification

 

Credentialing Compliance & Delegation Audits

We conduct annual reviews of organizational policies and procedures to ensure they align with health plan requirements, CMS, Medicaid, and NCQA credentialing policies. Our team prepares and presents revised policy documents to support the client’s credentialing committee or board in making informed decisions. We also manage individual managed care payor audits, providing comprehensive responses and follow-up as required by each health plan or network.

 

Payor Relations 

Our mission is to bridge the gap between healthcare providers and payers by delivering innovative solutions that ensure provider eligibility with payers, maintain regulatory adherence and foster strong partnerships with payers for long-term financial stability. We are committed to enhancing financial performance while improving patient care through efficient payer management strategies.

 

Provider Relations 

Catalyst Consulting is a premier provider relations management company dedicated to building and strengthening relationships between healthcare providers and payers. Our tailored solutions ensure a more efficient, transparent, and mutually beneficial provider-payer relationship.

 

We assist with dispute resolution and offer ongoing support to improve network performance and provider satisfaction. By leveraging data-driven insights and industry best practices, we help healthcare organizations reduce administrative burdens, improve provider engagement, and drive operational efficiency.

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