Provider Enrollment, Credentialing and Primary Credential Source Verification

Keizer Solutions knows that time is money. Accurate, rapid credentialing is key to profitability. Working across the healthcare industry spectrum, we ensure that credentials are correctly submitted and verified.

CVO

Time-consuming. Critical to upholding the highest standards of patient care. Negative impact on the bottom line. According to industry sources, delays in provider credentialing can cost a hospital over $900,000 in as few as six months, while the cost to verify each providers' credentials can exceed $250 in out of pocket costs alone, not to mention the cost of valuable administrative time.

As an accredited Credentials Verification Organization, Keizer Solutions knows that accurate, complete and timely verification of provider credentials is critical to maintaining the highest standards of patient care. With proven expertise verifying credentials to the standards demanded by the NCQA, URAC, Joint Commission and AAAHC, Keizer Solution's PCVS team will verify all primary sources including:

  •  State licensure
  •  Education, training, and board certifications
  •  DEA/CDS certification
  •  National Practitioner Data Bank
  •  OIG sanctions
  •  Malpractice claims history
  •  Work history
  •  Medical Board sanctions
  •  Meet joint commission or NAQA standards

Payer Credentialing

Inefficient. Lengthy. Costly. Keeping credentials up to date with the right network of payers is key to maximizing revenue. Staying on top of ever-changing network and Medicare/Medicaid requirements is critical.

Keizer Solutions works with providers of all specialties to ensure that network and federal program enrollment is complete and up-to-date. Using NCQA and URAC guidelines for primary source verification, we are able to complete enrollments in 45-60 days, accelerating your revenue potential.

Reliable. Cost-effective. Accurate. Efficient. Fast. High touch Whether you are a single practitioner, or a medical group, hospital or health plan, Keizer Solutions's high touch service combines efficiency and customer service, speed and competitive pricing—all delivered through easy to use enabling software which eliminates duplication and rework.