Digital Product Design & Development
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Credentialing and Contracting

Reduced process time. Increased efficacy.

The credentialing process on average takes 90-120 days. Our credentialing solutions help in reducing the processing time.

500
+
satisfied clients
24
hr
TAT
Up to
99
%
accuracy
500
+
satisfied clients
24
hr
TAT
Up to
99
%
accuracy
500
+
satisfied clients
24
hr
TAT
Up to
99
%
accuracy
500
+
satisfied clients
24
hr
TAT
Up to
99
%
accuracy
What we offer

Credentialing and Contracting

Credentialing and contracting ensure healthcare providers meet payer requirements and maintain compliance, streamlining the data collection and negotiation processes. Automated systems keep provider profiles up to date, optimizing reimbursement rates and minimizing administrative burdens.

Fast, accurate and NCQA-compliant Credentialing

Synova's credentialing service leverages advanced, NCQA-compliant tools to simplify data collection, analysis, and submission to payers. This ensures a seamless application process and maximizes your acceptance rate.

helps with

  • Gathering and collating data
  • Analyzing and submitting data to payers
  • Enhancing healthcare and patient care quality

Automated Data collection and Population in CAQH

We go beyond basic CAQH profile maintenance. We create profiles for new providers and utilize our cutting-edge technology to automate the 120-day re-attestation process, guaranteeing providers' profiles and insurance documents stay continuously updated and compliant.

helps with

  • Automatic renewal every 120 days
  • Up-to-date provider profiles
  • Consistent insurance documentation

Mutually-favorable Contracting

Our meticulous fee schedule analysis goes beyond basic review. We identify opportunities to maximize your reimbursement rates through negotiating favorable contract terms.

helps with

  • Optimizing reimbursement rates
  • Enhancing financial outcomes
  • Identifying improvement opportunities

License Tracking and Expiration Management

Synova tracks provider licenses, monitors expiration dates, and sends automated notifications for renewal, ensuring ongoing compliance and reducing the risk of working with providers with expired licenses.

helps with

  • Maintaining compliance
  • Reducing administrative burden
  • Preventing lapses in provider licensure

Find what’s Right for you

Discover how Synova can unlock value through our customized solutions across all stages of your healthcare journey. From optimizing operations to enhancing patient care, we're here to support your journey toward excellence in healthcare delivery.

Challenges We Solve

Choosing Credentialing and Contracting

Increased Administrative Burden

An overwhelming amount of forms, applications, and documentation, coupled with the inability to efficiently credential across multiple states or locations, takes staff away from revenue-generating activities.

Underutilized Revenue Potential

Credentialing delays or errors can impede billing and reimbursement, while network exclusions and suboptimal contract terms negotiated without expertise lead to significant financial losses.

Lack of Expertise to Effectively Evaluate Payer Contracts

Providers struggle to optimize terms like fee schedules and reimbursement methodologies and face difficulty pushing back on unfavorable payer contract language.

Problems with Maintaining Compliance

Keeping up with frequently changing payer rules, regulations, and credentialing requirements is challenging, often resulting in missed re-credentialing deadlines that can lead to terminations.

Measurable Impact

Up to
99
%
accuracy
500
+
satisfied clients
24
hr
TAT
Customized Solutions

Designed for your Requirements

Our service solutions streamline operations, enhance patient engagement, and integrate advanced clinical support technologies, tailored to meet your specific needs with efficiency and excellence.

Fast Track Licencing

We leverage expertise in PECOS for rapid Medicaid and Medicare credentialing across Florida, Texas, California, and other key states. Our team navigates regional regulations for a seamless process.

Maximize Reimbursement Opportunities

Achieve industry-leading first-pass application rates and optimize provider reimbursement arrangements for maximized payouts.

Generate Type I and II NPI

We generate Type I NPIs for fresh graduates and Type II NPIs for newly formed groups. NPIs are mandatory 10-digit identifiers for healthcare providers, ensuring standardization across health care providers, plans, and employers.

Streamline Hospital Privilages

We navigate the complexities of hospital credentialing, leveraging our established relationships and expertise to secure privileges and facilitate re-appointments seamlessly.

Ensure Compliance, Avoid Risk

Our deep understanding of products and business lines across states allows us to navigate complexities, optimize negotiations, and ensure compliance with state-specific regulations.

how it works

How Synova Is Integrated with your Business

Synova integrates seamlessly into business operations by deploying advanced technologies and specialized expertise in healthcare operations management. This integration optimizes processes, enhances efficiency, and ensures compliance, supporting sustainable growth and improved patient care outcomes.

01

Data Collection and Verification in minutes, not months

Leverage our in-house technology for real-time provider data verification straight from primary sources. Our CAQH integration standardizes application information and auto-rosters each provider’s data, ensuring compliance without manual input or repeated entries.

02

Contract Negotiation and Payer Enrollment

Secure favorable terms and rates with payers/insurance companies. We handle application submission, ensuring accurate completion and attachment of all required documentation.

03

Timely Monitoring and Follow-Up

Navigate the credentialing process, typically lasting weeks or months. Our team monitors progress, follows up with relevant parties, and keeps you informed of application status.

04

Experience ongoing end-to-end support

Synova provides comprehensive, ongoing support. We track licenses, monitor expiration dates, and send automated renewal notifications. This ensures accurate documentation and maintains ongoing compliance, minimizing risks associated with expired licenses.

frequently asked questions

All your Doubts Resolved

What is provider credentialing?

Provider credentialing is the process of verifying the qualifications and background of healthcare professionals. This includes confirming licenses, education, training, certifications, malpractice coverage, and other criteria required by insurance companies and healthcare organizations.

Do you assist with contract negotiations?

Yes, a key part of our service is payer contract review and negotiation on your behalf. Our team analyzes proposed contracts to secure fair reimbursement rates, reasonable terms, and protect your interests.

Why is credentialing important?

Credentialing ensures healthcare providers meet payer and regulatory standards. It allows them to be reimbursed for services rendered and participate in insurance networks. Proper credentialing is essential for revenue cycle management.

What if I practice in multiple states?

Our team handles multistate credentialing and ensures you meet all licensure and payer enrollment requirements in each state.

What is included in your credentialing services?

Our credentialing experts will gather and primary source verify all your credential data and documentation. We handle application preparation, submission, and follow-up for initial credentialing and re-credentialing with all payers and hospitals.

Can you take over existing credentialing efforts?

Absolutely, we can take over all new and existing credentialing workloads from your team or provide credentialing from the ground up.

What is provider contracting?

Contracting is the process of negotiating and establishing contracts between providers and payers. These legal agreements outline reimbursement rates, approved services, and other terms.

What is your pricing model?

We offer straightforward, flat-rate pricing packages customized for your speciality, provider volumes, and credentialing needs.

Your Process, Our Technology

Building a Partnership grounded in trust and transparency.

When we build solutions with healthcare organizations like yours, it significantly reduces development and adoption times. We work as partners to solve problems and unlock tangible value.

Accelerated Outcomes
Partnering with Synova reduces development and adoption times, expediting the delivery of efficient revenue cycle solutions.
Value-driven Collaboration
By combining healthcare organizations’ patient-focused experience with Synova’s expertise, our partnership unlocks tangible value and fosters innovation.
Compliance Assurance
Collaborating with Synova ensures solutions are developed to meet industry standards and regulations, fostering trust and delivering high-quality, compliant outcomes.

Bring a change to your Healthcare Operations

A partnership with Synova gives you an inherent:

Adherence towards federal, state, and organizational compliances, as well as safeguarding patient data.

Sense of ownership and commitment towards providing value.

Focus on speed, accuracy, efficiency, and optimal outcomes.

Sense of security and transparency through periodic reporting and actionable insights.

Connect with our experts for a quick analysis and possibilities.

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