Let Our Experts Take Care of Your Provider Credentialing
We know how exhausting the "paperwork chase" is. Let our experts manage your enrollment and licensure for a truly stress-free experience. →
Why Modio's Credentialing Services
At Modio, a CHG Healthcare Company, we understand the critical role credentialing plays in safeguarding patient well-being and delivering exceptional care. However, we acknowledge the challenges it often presents. That's where our expert team comes in. We navigate the complexities of credentialing with proven expertise and unwavering dedication, ensuring you meet stringent compliance standards effortlessly. Think of us as your trusted partner, guiding you through the process with clarity and efficiency. Experience the confidence of knowing your credentialing needs are handled by the best, backed by our KLAS-leading credentialing software, OneView.
How our Credentialing Services work
About Modio Health
Credentialing Services
Prescriber Verifications
Provider Management
Modio's OneView® is a credentials management platform that helps you keep your organization in compliance — simply and cost-effectively.
The OneView® Carbon® platform provides a simple solution for quickly and easily verifying medical prescribers with real-time integrations across all states for DEA, state medical licenses, OIG, NPI and PECOS.
Our Modio team and partners provide credentialing services and consultation to our clients in a professional, transparent, and timely manner.
Credentialing Services
Our Modio team and partners provide credentialing services and consultation to our clients in a professional, transparent, and timely manner.
Prescriber Verifications
The OneView® Carbon® platform provides a simple solution for quickly and easily verifying medical prescribers with real-time integrations across all states for DEA, state medical licenses, OIG, NPI and PECOS.
Provider Management
Modio's OneView® is a credentials management platform that helps you keep your organization in compliance — simply and cost-effectively.
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Modio Health transforms slow and tedious credentialing processes like license renewals, recredentialing, and payor applications into a seamless, hassle-free experience. Modio is part of the CHG Healthcare family of companies.
How Our Credentialing Services Work
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Our Credentialing Services
Harness expertise. Elevate efficiency. With 212 years of combined experience, our credentialing team delivers smooth and swift processing. We bring a comprehensive understanding of the credentialing landscape, with experience in diverse healthcare settings, delegated relationships, state and federal regulations, and various medical specialties.
Our team is equipped to handle all aspects of credentialing, from initial applications to ongoing maintenance.
"Before partnering with your team, credentialing issues were costing us up to $400,000 in lost revenue. Since working with you, we've seen a dramatic improvement in our payer enrollment and claim processing, directly impacting our bottom line. Thanks to your help, we've been able to recover that lost revenue and ensure smooth operations."
Market Director Physician Services, Logan Memorial Hospital
Mark K.
Why choose Modio's Credentialing Services
Slash Payer Enrollment Time in Half with our Experts.
Tired of Long Payer Enrollment Times Impacting Your Revenue Cycle? Our expert support gets you enrolled in an average of 60 days – 50% faster than the industry standard of 90-120 days.
Industry Average
60 Days
90-120 Days
Modio XCS
Days to complete enrollment and receive effective dates
Faster Credentialing & Enrollment
What our clients are saying
Streamline Your Credentialing, Maximize Your Success.
Maximize reimbursement potential
Accelerate your revenue cycle and minimize financial losses by ensuring clean claims submissions through our expert enrollment management.
Improve provider data visibility
Maintain a clear and up-to-date view of your provider network's enrollment status with our centralized data tracking and reporting tools.
Enhance provider and staff satisfaction
Create a positive onboarding experience for new providers and reduce administrative headaches for your staff with our simplified enrollment solutions.
Increase staff productivity and bandwidth
Streamline administrative tasks and free up valuable staff time by automating enrollment processes and optimizing workflow efficiency.
Behind the Scenes
Meet Our Talented Credentialing Team
With over 10 years of experience in diverse healthcare settings, Amy brings her expertise to Modio's Credentialing Services team. Her background spans Independent Physician Associations, staffing firms, and Revenue Cycle Management. Well-versed in delegated relationships and state-specific regulations, Amy resides in Long Beach, California, where she enjoys outdoor activities with her pets, family, and friends.
Leading Modio's Extended Credentialing Services team, Rachel brings over 15 years of operational leadership experience and a strong background in healthcare credentialing. With a focus on state licensure for the past two years, Rachel leverages her expertise to ensure smooth operations. She further bolsters her qualifications with both CPCS and PESC certifications.
With over 20 years of experience, Cindy brings her expertise to Modio's Credentialing Services team. She boasts 10 years working in a Joint Commission accredited medical staff office. Cindy specializes in various fields, including dental, vision, and behavioral health, making her highly knowledgeable in credentialing. Additionally, she has over 10 years of experience in payor enrollment, working with clients nationwide.
Amy A.
Credentialing Manager
Rachel W.
Director of Credentialing
Cindy A.
Credentialing Manager
Modio Health and CHG Healthcare are independent organizations that do not hold affiliations with any state medical boards.
We offer credentialing services as a standalone solution.
You're in Good Hands.
Modio Health and CHG Healthcare are independent organizations that do not hold affiliations with any state medical boards. We offer credentialing services as a standalone solution.
Kathleen brings nearly 30 years of senior healthcare leadership experience in credentialing and enrollment services, with expertise in credentialing delegation, operations, provider and facility credentialing, enrollment, and regulatory compliance. She has a proven record of achieving full NCQA credentialing accreditation across 14+ years of surveys with multiple health plans in a national organization.
Kathleen D.
Credentialing Manager
Our Provider Credentialing Services
When credentialing is handled for you, your team is free to do what they do best — care for patients.
Expert Credentialing Services, Delivered.
Modio Health takes the complexity out of credentialing so your organization can reduce risk, stay compliant, and see real returns. Take the first step today.
Payor Enrollment & Management
- Federal, state, & commercial enrollment
- Revalidations & recredentialing
- CAQH setup & maintenance
- DME credentialing
- Payor audits
- Directory validation
Verifications and Facility Appointments
- Primary source verification
- Medical education verification
- Initial & reappointment privileging
- Criminal background checks
- NPDB monitoring & query
- NPI verification
How our Credentialing Services work
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Licensure & Registrations
- State licensure applications
- FCVS profile setup & maintenance
- DEA registrations & renewals
- Ongoing expirables monitoring
Compliance Monitoring
- Provider license monitoring
- Malpractice insurance updates
- Certification monitoring
- OIG/SAM monitoring
- Expirable document monitoring
