Payer Maintenance, Re-Attestation, and Re-Credentialing

Simplify Your Practice’s Provider Maintenance Needs

Keeping provider information current with payers is essential claims processing flowing and maintaining compliance. However, managing payer rosters, re-attestation, and re-credentialing can be time-consuming and complex.

At Revive RCM, we take the burden off your staff by handling all aspects of provider maintenance, ensuring your practice runs smoothly and remains compliant.

Our Provider Maintenance Services Include:

Payer Roster Maintenance
Accurate payer rosters are critical to avoiding claim denials. Our team ensures that your provider information is up-to-date across all payer systems.

• Additions and Terminations: We manage the addition of new providers or the removal of departing ones on payer rosters.
• Ongoing Updates: We handle changes to provider details, such as address updates, NPI changes, or tax ID modifications.
• Payer Communication: We liaise directly with payers to resolve discrepancies or ensure timely updates.

Re-Attestation
Keeping provider data accurate and attested with payers is essential for compliance. Our team ensures re-attestations are completed on time to avoid delays or interruptions.

• Credentialing Data Validation: We verify that all credentialing details are current and compliant with payer requirements.
• Submission Management: We prepare and submit re-attestation forms, ensuring accuracy and adherence to deadlines.
• Proactive Notifications: We alert you to upcoming re-attestation deadlines to ensure nothing is missed.

Re-Credentialing
Regular re-credentialing is necessary to maintain active payer contracts. Our experts streamline the process, reducing administrative burdens.

• Document Preparation: We gather and organize all required documentation for re-credentialing submissions.
• Application Submission: Our team ensures all applications are completed accurately and submitted to payers promptly.
• Follow-Up and Confirmation: We track the progress of re-credentialing applications and confirm approvals, addressing any issues that arise.

Why Provider Maintenance Matters:

• Prevent Claim Denials: Up-to-date provider rosters and credentials reduce the risk of claim rejections.
• Ensure Compliance: Proper maintenance of provider data ensures adherence to payer and regulatory requirements.
• Streamline Operations: By outsourcing provider maintenance tasks, your staff can focus on delivering quality patient care.
• Enhance Revenue Cycle Efficiency: Accurate and current provider data leads to faster claim processing and reimbursement.

Why Choose Revive RCM?

With years of experience in medical billing and provider management, our team understands the importance of accurate and timely provider maintenance. We take a proactive approach, staying ahead of deadlines and resolving issues before they impact your practice’s revenue. Our personalized solutions are tailored to the unique needs of your healthcare organization.

Partner with Us for Seamless Provider Maintenance

We’re committed to ensuring your provider information is always accurate, compliant, and ready for payer audits. Let us handle the complexities of payer roster maintenance, re-attestation, and re-credentialing, so you can focus on what you do best—providing exceptional care to your patients.

Contact us today to learn more about our provider maintenance services or to schedule a consultation.