Foundation Credentialing Services

Stop spending hours trying to figure out how to complete applications, Foundation Credentialing assist you. Effective provider credentialing and privileging requires knowledge of the requirements of each entity and attention to every detail. Whether the objective is successful enrollment in government or private payors, obtaining medical facility site privileges, or maintaining your current staff credentials, we have the skills and knowledge to accomplish your goals. Contact us to discuss how we can help your organization in these important processes.

Privileging

Our competent team works with clinical providers to obtain medical privileges at hospitals, ambulatory surgery centers, and other medical facilities. Depend on our experts to complete applications and provide required documents quickly to meet approval deadlines. Privilege reappointments are handled promptly to eliminate any disruption of services.

Agency Privilege Coordination

Our team is highly experienced in collaborating with locum agencies’ privileging departments for interim staff to work at hospital and outpatient centers. We provide the guidance needed for accurate applications so that your clinical needs can be backfilled ASAP. Your patients and partnerships will never know the difference

Credentialing and Enrollment

There is no need to be on perpetual hold with Medicare’s customer service or spend valuable time emailing Blue Cross. Foundation Credentialing specializes in initial enrollment with commercial insurance networks, workers compensation, and government plans nationwide. Our team will work with you or your clinicians to compile credentialing information, critical documents, and login information for your providers. When mandatory reappointments and revalidations are due, they will be handled in a timely manner.

Facility Credentialing

Is your group creating a new entity? Are you opening a new location? That is great! We can assist you though the hurdles so the clinicians can work and all payer affiliations are established. This allows you to focus your time and resources on cultivating referral relationships and building patient volume.

Licensing

If an initial medical license is needed, we will collaborate with the clinician to gather requirements and complete the application. Foundation Credentialing is also well versed in physician assistant and nurse practitioner licensure. 

  • Completion of all applications
  • Tracking of CME information
  • Provider document storage
  • Contacting boards with current information

Ongoing Maintenance

Required updates are important but never convenient. Let Foundation Credentialing handle your ongoing needs related to:

  • CAQH maintenance and reattestation
  • Individual NPI updates and maintenance
  • Directory updates
    • Address updates or deletions
  • Recredentialing of current insurance plans
  • Recredentialing of current hospitals
  • Demographic maintenance
  • Expirable maintenance
  • Username and password maintenance
  • Medical license
  • Drug license
  • CME tracking
  • Supervising / sponsoring physician updates