Managed Care Support Services

Managed Care Support Services:
- New Group & Physician Contracting and Credentialing
- Managed Care Plans & Hospital Application Completion
- Fee Analysis Reports
- Contract Matrix
- Malpractice Claim Summary Program
- Medicare & Medicaid Revalidations
Physician/Allied Health Credentialing
Our goal is to improve the quality and efficiency of the credentialing process. TSMG works as a clearinghouse to reduce the burden that is placed on the medical practice. The preparation of credentialing applications for managed care plans, other third party payors, government agencies, hospitals, and related organizations have become increasingly time consuming, costly, and duplicative process. TSMG removes this burden from the practice and allows you to focus on providing care to your patients. TSMG continues to build a strong relationship with managed care plans, hospitals and related organizations, who have in turn, applauded our expertise and timeliness in streamlining with accuracy, the application process.
Managed Care Plans
Government Plans
Malpractice
Hospitals
Ambulatory Surgery Centers
Facilities
Medical Society
Managed Care Plans
Hospitals
Ambulatory Surgery Centers
Government Agencies
Revalidations
Maintenance of NPI & CAQH
(Client has access to Database for viewing)
Personal Information
Practice Information
Malpractice Coverage
Board Certifications
Schooling
Hospital Privileges/ASC
References
List of Contracted Insurance Companies
NPI
CAQH
Malpractice Claim Summary
Indiana Department of Insurance
National Practitioner Data Bank


Credentialing Verification
Hospital, Ambulatory Surgery Center and Insurance Plan Credentialing Verification
Credentialing verification services provides hospitals, ambulatory surgery center and insurance plan credentialing verification services for all their physicians and allied health professionals on staff at their facility. The credentialing guidelines are determined by the facility’s by-laws, state regulations and their accreditation affiliation such as JCAHO or AAAHC.
Services Provided
Our online secured database allows our clients access to each physician/allied health professional, as well as third party auditors, to view the following documents:
- CME’s
- NPDB Query
- Mantoux (TB)
- CV
- Photo identification (Drivers License or passport)
- CPR, ACLS
- Criminal Back Ground Check
- OIG Exclusion Check
Tri-State Medical Group can help you.
Contact Us Today!