Credentialing can be tedious and error-prone, but Invicta MD makes it simple. Missing forms or mistakes can cost you revenue by limiting access to critical networks. As a leading provider of credentialing services, we manage the entire process, from primary source verification to premium network enrollment, so that you can focus on patient care.
Invicta MD has helped healthcare providers streamline credentialing with a proven 95% success rate. We handle all aspects of the credentialing process, saving you time and reducing administrative burdens. Our services are tailored to meet the needs of providers across various specialties.
Invicta MD steps in to ease this strain by handling billing and revenue cycle management, letting physicians reclaim their focus on patient care. Our flexible, customizable services allow you to decide exactly where you’d like our support.
Navigating Medicare’s Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) enrollment is complex. Invicta MD simplifies the process, helping you get enrolled and reimbursed by Medicare, so you can focus on providing quality care.
Credentialing with insurance companies like Humana, Cigna, and Aetna can be time-consuming due to varying eligibility requirements. Invicta MD handles the entire process, gathering all necessary documents to ensure no delays in getting you in-network with these insurers.
Revalidation and re-credentialing are crucial for maintaining active status with payers. Invicta MD simplifies the process, ensuring compliance and timely updates to prevent disruptions in your practice’s operations.
Our specialists handle CAQH registration and profile maintenance, ensuring smooth credentialing across multiple insurance companies. This process streamlines claims management, boosting operational efficiency.
Invicta MD helps healthcare providers navigate the enrollment process for Medicare and Medicaid, expanding patient reach and boosting revenue. We handle all requirements and communication with insurers to ensure successful enrollment.
We assist individual providers (Type 1) and organizations (Type 2) with obtaining or updating their National Provider Identifier (NPI), ensuring seamless HIPAA-compliant billing and claims submission.
Invicta MD supports healthcare providers in obtaining hospital privileges, enabling them to admit and treat patients at affiliated hospitals and collaborate with other healthcare professionals.
Our experienced team negotiates favorable contracts with insurance payers, securing better terms and higher reimbursement rates for providers.
We conduct thorough audits of your reimbursement processes, identifying and resolving issues like claim denials, underpayments, and delays to optimize your revenue cycle.
Invicta MD assists healthcare providers in obtaining and renewing state medical licenses, ensuring compliance, enhancing competence, and protecting against liability.
Invicta MD assists qualified practitioners with applying for and renewing their DEA certificates, allowing them to prescribe and handle controlled substances within their speciality.
We help healthcare providers and laboratories complete the CLIA registration process, ensuring they meet standards for conducting diagnostic, preventive, and treatment-related testing services.
Invicta MD has helped healthcare providers streamline credentialing with a proven 95% success rate. We handle all aspects of the credentialing process, saving you time and reducing administrative burdens. Our services are tailored to meet the needs of providers across various specialties.
Invicta MD steps in to ease this strain by handling billing and revenue cycle management, letting physicians reclaim their focus on patient care. Our flexible, customizable services allow you to decide exactly where you’d like our support.
We will assemble all the necessary information, such as licenses, certifications, education transcripts, and references, to meet each payer’s specific requirements.
We will verify your credentials with the issuing bodies. Our expert team will double-check everything with the official sources. Once everything is in order, we will assist you in obtaining approval from hospitals and insurance companies.
Contact Invicta MD to discuss the details of your organization and health plans for enrollment.
Our team will complete the appropriate applications and submit them to your preferred payers.
While credentialing is a necessary process there are common mistakes healthcare providers can make that can cause delays, denials or even loss of revenue. Here are some:
Incomplete or Incorrect Application: Make sure all applications are complete and accurate. Missing or incorrect information causes delays or denials.
Not Meeting Deadlines or Following Up with Insurers: Timely submission and regular follow-up is key. Missing deadlines or not following up causes big delays.
Not Verifying Provider Credentials or Qualifications: Always verify provider credentials and qualifications before submitting. This step is critical to avoid rejections.
Not Keeping Provider Information Up to Date: Keep all provider information current. Outdated information causes problems during re-credentialing.
Not Fixing Credentialing Issues Quickly: Monitor credentialing applications regularly and fix issues as they come up to avoid delays.
By doing this healthcare providers can have a seamless credentialing process for their patients, practice and revenue.
Medicare enrollment for regular providers takes 2-3 months but allows retroactive billing. Note that this period can vary from state to state. For DMEPOS suppliers, expect a longer wait due to stricter confirmation, including a site visit.
CP575 is an IRS notice that confirms your business’s Employer Identification Number (EIN). It’s basically a confirmation letter saying your business tax ID application was successful.
This letter serves as additional verification of the business’s legal name and must be submitted with the Medicare enrollment application. If the original is unavailable, a replacement letter (147C) can be requested as proof of the EIN. Medicare accepts only these two documents as proof of the EIN.
The specific Medicare application used for provider enrollment depends on the type of provider enrolling. Here’s a breakdown:
You can find these forms and more information on the official CMS website:
In most cases, yes, providers must have a service location to begin credentialing for Medicare. Providers cannot use their home address as a clinic address, either permanently or temporarily.
While some exceptions might exist, a home address can be used for billing and correspondence, as long as a physical business address is also provided. This works even if the office is still under construction. The application can be submitted up to 30 days before the location opens for patients. Most commercial carriers have the same policies.
Ready for a hassle-free credentialing journey? Partner with Invicta MD for efficient, expert-driven physician credentialing services.
We streamline the process, ensure clean submissions, and help maximize your revenue potential by up to 30%.
