Ensure Compliance, Accuracy, and Optimized Reimbursement for Your Practice
Fix Credentialing Gaps Before They Cost You.
Even small credentialing errors can lead to denied claims, delayed payments, or compliance penalties. That’s where we come in. Our credentialing audit service is designed specifically for dental practices that want peace of mind, financial stability, and full compliance across all insurance networks.
We go beyond basic checks. Our team performs an in-depth review of your provider files, insurance enrollments, and supporting documents to identify any issues that could impact your reimbursement or put your practice at risk.
What’s Included in Our Credentialing Audit
Full-File Review of Each Provider
We thoroughly examine all credentialing data including licenses, certifications, malpractice coverage, CAQH profiles, and insurance applications. Any expired or missing documentation is identified and flagged for immediate action.
Insurance Network Verification
We ensure that your providers are properly enrolled and listed with every payer you work with. This includes checking for correct tax ID numbers, NPIs, and plan-specific requirements that directly impact your ability to get reimbursed.
Regulatory Compliance Check
Our audit compares your credentialing setup against the latest federal and state regulations, along with payer-specific guidelines. We help ensure your practice remains compliant and audit-ready at all times.
Error and Discrepancy Reporting
We don’t just uncover problems — we help you understand them. You’ll receive a detailed report that outlines all identified issues, why they matter, and how they can be resolved efficiently.
Action Plan and Ongoing Support
After the audit, we provide you with a step-by-step action plan. If needed, our credentialing specialists can work with you to fix any problems, re-submit applications, or update provider profiles.
Consultation & Assessment
We begin by discussing your credentialing needs and current status to tailor the audit process to your practice.
Contract Verification
We verify your enrollment with relevant insurance payers and check that contracts are up-to-date.
Discrepancy Identification
We identify and flag any errors, missing information, or inconsistencies that could affect your practice.
Recommendations
We offer clear, actionable recommendations to correct any issues and streamline your credentialing process.
Record Review
We review all provider credentials, including licensure, certifications, and malpractice insurance for accuracy.
Compliance Check
We ensure your credentialing documentation meets all federal, state, and payer-specific requirements.
Audit Report
We provide a detailed report highlighting any discrepancies and suggesting improvements for compliance.
Implementation & Support
We assist with implementing the recommended changes and provide follow-up support to ensure all updates are made.
BenefitsYou'll Experience
By choosing Allrcm Experts for your credentialing audit, you’ll unlock a range of benefits that directly impact your practice’s efficiency, profitability, and patient care quality:
Increased profitability and financial stability: Ensure your credentialing process is optimized for maximum reimbursement, improving your bottom line.
Reduced administrative costs and operational inefficiencies: Streamline your credentialing process and reduce the time spent on fixing errors, saving both time and money.
Improved cash flow and reduced accounts receivable aging: Minimize delays in reimbursement by ensuring that your credentialing records are accurate and up-to-date.
Lower claim denial rates and increased clean claim submissions: Address credentialing issues that lead to denials, resulting in more approved claims and faster payments.
Enhanced compliance and reduced risk of penalties: Stay compliant with federal, state, and payer-specific regulations, reducing the risk of penalties or audits.
Greater focus on delivering high-quality patient care: With less time spent on administrative tasks, your team can focus more on providing exceptional patient care.
Improved patient satisfaction through clear and efficient billing processes: Simplified billing and insurance procedures lead to a better patient experience and higher satisfaction.
Special Offer for Our Special Member
Please have a look at our complete business services and special deals for you. For anything more? Please reach us out.
