Credentialing Services

Are you searching for that missing piece to your credentialing process?

Precision Credentialing Services is a national Credentials Verification Organization (CVO) providing credentials verification by primary source for all types of healthcare organizations including hospitals, surgical centers, preferred provider organizations, networks, associations, medical practices, and staffing organizations.

Precision Credentialing Services performs our services in accordance with the current standards set forth by the National Committee for Quality Assurance (NCQA), Joint Commission (JCAHO) and the Accreditation Association for Ambulatory Healthcare (AAAHC).

Credentialing for all types of healthcare providers, including physicians, allied, alternative and complementary practitioners, Precision Credentialing Services understands the importance of obtaining and verifying the information quickly and accurately.

We develop long term relationships with our clients, while helping them connect the credentialing puzzle pieces.


About

Located in Salt Lake City, Utah, Precision Credentialing Services (PCS) is a division of Western Rehabilitation Health Network (WRHN) providing national credentials verification services since 2000.  Originally created as an internal CVO for WRHN in 1998, PCS expanded operations to meet a growing need for outsourced primary source verification across the United States.

Our clients include hospitals, surgical centers, preferred provider organizations, networks, associations, medical practices, and staffing organizations. Please visit our credentialing web site for more information about our services: www.precisioncredentialing.com

Our parent company, Western Rehabilitation Health Network (WRHN) was founded in 1997.  WRHN provides network management services as well as provider contracting and paneling for healthcare entities and or providers throughout the United States.  Provider contracting and paneling services is a key component in the credentialing continuum.


Services

Application and Initial Credentialing

  • Credentialing Application (PCS standard, client modified, or state specific) is generated via our credentialing software and available on our web site as an interactive PDF, via email or mail by client request.
  • Upon receipt of completed application, primary source verification of required elements begins and our average completion is less than 45 days.
  • Completed file returned to client electronically and includes a summary of all verified data, the application, supporting reports (NPDB and AMA, etc.) and verification records.


Re-credentialing

  • Re-credentialing application pre-populated with data from initial PCS credentialing record

Initiated and sent to the provider 4 months prior to expiration of initial credentialing file.

  • Upon receipt of completed application, primary source verification of required elements begins and our average completion is less than 45 days.
  • Completed file returned to client electronically and includes a summary of all verified data, the application, supporting reports (NPDB and AMA, etc.) and verification records.


Dynamic Credentialing

  • Monitor and obtain current records for expiring documents (license, liability insurance, DEA, etc.)  between credentialing cycles.
  • Update forwarded to client electronically for insertion in master file.


Delegated Credentialing Oversight Audits

Healthcare entities who offer delegation of the credentialing process to networks, hospitals, or large provider groups must perform delegated credentialing oversight audits on a regular basis.  Precision Credentialing Services performs these audits for our clients who offer delegation.  Audits include policy review and electronic file review for initial and re-credentialed providers.


Document/Forms Conversion

Unfortunately, some healthcare entities have not yet invested in electronic/interactive forms for providers to complete via computer and many of these forms are being hand completed.  This takes a huge amount of time away from your provider’s ability to care for their patients.  In addition to time, poor handwriting causes delays in contracting, paneling and credentialing being performed.  Applications, contracts, etc. are scanned and converted to interactive documents.  Document conversion services are provided by our Provider Contracting and Paneling Services Dept.


Frequently Asked Questions

Q. What types of providers do you credential?
A. Physicians and all allied health care providers.

Q. What credentialing criteria do you use to provide primary source verification?
A. Our credentialing standards meet NCQA, JCAHO, and URAC.

Q. How long have you been in business.
A. We have been providing primary source verification since 2000.

Q. Who are your clients?
A. We provide primary source verification for networks, hospitals, surgical center, health plans, and insurance carriers.

Q. Do you provide references?
A. Yes. References are available upon request.

Q. What is your average turn-around time?
A. Our average is 45 days from the receipt of a completed application.

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What is WRHN

Western Rehabilitation Health Network provides outpatient physical therapy, occupational therapy, and speech-language pathology services. Highly skilled professionals, our providers have established themselves by providing quality rehabilitation services at a local level.

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