NGA Healthcare provides unmatched and expert credentialing and credentialing maintenance services including initial credentialing, re-credentialing, Medicare, Medicaid and assistance with provider disputes related to credentialing.  NGA Healthcare ensures provider paperwork is submitted on time, documented, and obtain proof of all effective dates. 

All follow up, documentation, and effect date confirmation is included in the costs below, so there is are no hidden costs for doing what it takes to ensure your providers are credentialed.  Our credentialing service more than pays for itself in practice man hours and avoiding lost income.

 

Maintenance:

$150 per month, per provider

12 month commitment

      • Includes audit of all providers to ensure they are contracted and credentialed with all current plans of the practice
      • If provider is not contracted, provider is added at no additional charge.
      • Includes initial audit of provider CAQH file, completion of CAQH file and maintenance of CAQH file.
      • Completion of re-credentialing applications (including hospital) as they are required, Medicare revalidation and Medicaid revalidation.
      • Client is provided with access to online portal that tracks and confirm completion of re-credentialing applications, re-validations, etc. 
      • Tracking of provider documents and their expirations including medical license, liability insurance and DEAs.
      • Includes completion of all Medicare Advantage quarterly attestants.
      • Includes deletion of providers who have left the practice.

Previously Credentialed Providers to be Added to the Practice:

$3,500 Fixed Fee

      • Including all payers requested by client and associated address locations.
      • Includes Medicare and Medicaid registration updating.
      • Client is provided with access to online portal that tracks progress of credentialing/contracting process.
      • Client is provided with written “Effective Date" confirmation from each payer when applicable.
      • Includes assistance with provider disputes due to loading/credentialing errors by the payers.
      • Does not include hospital credentialing.
        • Hospital credentialing provided at additional $500 per hospital affiliation.

Non-Credentialed Providers to be Added to the Practice:

$4,500 Fixed Fee

      • Includes assisting provider with obtaining License, DEA and registration with Medicaid.
      • Including all payers requested by client and associated address locations.
      • Includes Medicare.
      • Includes review and completion of CAQH and NPPES.
      • Client is provided with access to online portal that tracks progress of credentialing/contracting process.
      • Client is provided with written “Effective Date" confirmation from each payer when applicable.
      • Includes assistance with provider disputes due to loading/credentialing errors by the payers.
      • Does not include hospital credentialing
        • Hospital credentialing provided at an additional $500 per hospital affiliationSchedule a FREE  Phone Consultation

If you are in need of contracting or credentialing, or have general questions, fill out the form below and someone will be in contact with you shortly.