Credentialing Maintenance

Keep Your Practice Compliant and Ensure Proper Payments with Credentialing Maintenance

Maintaining up-to-date credentials is crucial for keeping your practice compliant, ensuring proper reimbursement, and avoiding disruptions in insurance participation. Dentsential’s comprehensive credentialing maintenance services go beyond basic credentialing to include proactive, ongoing support. From regular credential reviews to ensuring correct payment processing, we ensure your practice runs smoothly and remains in compliance with insurance networks.

What We Offer

Periodic Credential Reviews: We regularly review each practitioner’s credentials to verify that they remain valid and up-to-date. This includes monitoring licenses, certifications, and other required documents to ensure continued compliance with state and federal regulations.
Renewal Alerts and Reminders: Our system sends automated alerts for upcoming renewals of your practice’s essential credentials, including licenses, certifications, and insurance participation, so you never miss a critical deadline.
Compliance Monitoring and Updates: Stay on top of the latest regulatory changes with our frequent updates. We keep track of both state and federal law changes that may impact your credentialing requirements, helping you stay compliant and avoid penalties.
Credential Verification and Monitoring:We verify that all credentials are accurate and meet the required standards for your practice. Our proactive monitoring service ensures that any discrepancies are addressed swiftly, keeping your practice in good standing.
EOB (Explanation of Benefits) Reviews: We regularly review EOBs to ensure that payments are being processed correctly and match the contracted reimbursement rates. This extra layer of oversight helps to catch discrepancies and ensures your practice is receiving the correct payment for services rendered.
Digital Credential Storage: Enjoy secure, cloud-based storage for all credentialing documents. With easy access and organization, you can retrieve essential paperwork at any time, ensuring nothing is lost or misplaced.

Why Choose Dentsential for Credentialing Maintenance?

Expert Recredentialing Management: Recredentialing is critical for maintaining your participation in insurance networks. Dentsential handles the entire process, ensuring your practice submits applications on time and follows all necessary steps to stay credentialed without delays.
Proactive Payment Review with EOB Monitoring: Correct payments are essential for a healthy revenue stream. Our EOB review service ensures that the payments you receive align with the reimbursement rates set in your contracts. We work to catch any payment discrepancies early, so you can correct them before they become larger issues.
Tailored Solutions for Your Practice: Whether you run a small clinic or manage a multi-location practice, our credentialing maintenance services are flexible and scalable. We work with your practice’s specific needs, managing credentials and payments across multiple providers and locations.

How Credentialing Maintenance and EOB Review Benefits Your Practice

Fewer Administrative Burdens: Let Dentsential manage the administrative side of credentialing and payment monitoring. By reviewing your EOBs, we help ensure that you’re not leaving money on the table or accepting incorrect payments from insurance providers.
Improved Cash Flow: With our regular review of EOBs, your practice can quickly catch any underpayments or discrepancies, helping to maintain steady and correct cash flow.
Peace of Mind with Compliance: By monitoring credentials, renewals, and compliance updates, your practice will remain in good standing with insurance companies, ensuring uninterrupted service and reimbursement.

Maintain Your Practice’s Compliance and Ensure Correct Payments

At Dentsential, we provide comprehensive credentialing maintenance services, including the review of Explanation of Benefits to ensure proper payment processing. With our proactive approach, your practice will stay compliant, avoid credentialing lapses, and receive the correct payments for services rendered.

Contact us today to learn how our credentialing maintenance services can keep your practice compliant and maximize your revenue.