PROVIDER DATA MANAGEMENT
Berkeley & Associates have been servicing healthcare providers and their staff with credentialing for nearly 25 years. We have seen the CAQH system develop over time, answering the need for a more cohesive medical credentialing systems. There are many substantial benefits that the CAQH system provides. However, it also places the burden of compliance upon the individual providers.
CAQH collaborates with health plans, providers and related organizations to make the business of healthcare more streamlined and efficient.
We have been helping our providers with credentialing since the early 2000’s. We have seen the CAQH system develop over time, answering the need for a more cohesive medical credentialing systems. There are many substantial benefits that the CAQH system provides. However, it also places the burden of compliance upon the individual providers. They maintain a rigorous 120 day review cycle. The consequences of noncompliance can become disastrous, resulting in the loss of hard-won contracts. The management of this can be cumbersome for an individual provider, and the weight can become overwhelming for a group. Even more so for busy, successful providers.
Credential Maintenance Program
Our skilled and responsive team, with the CCIM software keeps your critical credentials from falling through the cracks.
As the industry evolves, Berkeley and Associates’ services also continue to evolve. We developed our Credential Maintenance Program to answer this critical need. Our Credential Maintenance Program offers providers the strength of our high-touch client care on an ongoing basis, coupled with the strength of our proprietary automated management software. Our maintenance system enables us to provide the highest level of real-time reporting and care for our providers, whether it be a single provider or a group of 30 locations with multiple providers.
CCIM, Credentials Contracts Information Management is the proprietary software for Berkeley & Associates. It is a working data file for our providers that allows us to complete applications efficiently. The software is a time management tool, where we track the submission of applications and it will create a follow-up date for application and enrollment management.
CCIM is a daily reminder of credential expirations dates so providers do not miss important updates and events for contracts or hospital re-appointments. This is can be a time – consuming task for any practice, using CCIM gives time back to busy Practice Managers.
CCIM is a solution for any size practice. The cost of credential management is adjusted by the size of the group. CCIM will give you back the time your practice needs for less than the cost of two hours of staff time per provider.
CCIM provides credential and contract security and keeps it data organized, up to date and available.
CCIM provides reports that help manage credentials,
contract applications and timeliness of enrollments.
This is a list of some of the frequent reports that CCIM can produce to keep your credentials and contracts on track. Custom reports available.
- Daily, weekly, monthly list of credential expiration dates by group and individual provider
- Group information: locations, standard contracts, group specific credentials and group progress notes.
- List of specific credentials with certificate numbers, dates and login information (if applicable)
- Contract enrollment updates with submission date, effective date and progress notes
- List of NPI numbers by group and individual provider
- List of state licenses and expiration reminders
- List of CME’s by date and type
- CAQH update information, last attestation.
- Liability Insurance reference for past and current accounts
- Education and training demographic information
- A new report is available now that gives us the contract and credential progress reports for each provider, this has become invaluable data when doing application follow-ups with payors.
- We can contest and appeal contract timing issues by having good follow up notes. This information also gives the provider detail of the tasks for their practice.