About Maverick Health Innovations
It is our mission is to provide a seamless licensing, privileging, credentialing and enrollment services that eases the burden of health care providers in their everyday practices, promote patient safety, practice compliance and optimize financial outcomes.
About Our Services
Licensing
Licensing guarantees that all practicing physicians possess the requisite education and training and adhere to established standards of professional behavior when providing care to patients. Our services facilitate the attainment of state licensing and telehealth operations across various states nationwide.
Credentialing vs Enrollment
It provides assurance to patients that they are receiving treatment from qualified providers whose qualifications, training, licensure, and competency meet acceptable standards. Additionally, credentialing ensures uniformity in the standards upheld by all healthcare workers.
Credentialing ensures uniformity in the standards upheld by all healthcare workers. Enrollment enables providers to participate in reimbursement programs within networks and receive payments from insurance companies, fostering a seamless financial relationship between providers and payers. This support enhances the sustainability of healthcare practices by facilitating revenue generation, attracting new patients, and facilitating practice or healthcare program
Hospital Privileging
Hospital privileges grant medical practitioners’ permission to provide specific patient care services within a designated healthcare facility. These privileges are conferred based on the physician’s existing medical credentials and past performance record.
Insurance Contracting
Insurance contracting is the establishment of reimbursement rates and in-network contracting.
In-network versus Out-of-network:
In-network providers must satisfy specific credentialing requirements and agree to accept discounted rates for covered services under the health plan to participate in the network. Most health plans offer access to a network of doctors, facilities, and pharmacies to help patients save money.
If a provider/facility lacks a contract with the health plan, they are considered out-of-network and can charge patients the full price, typically much higher than the discounted in-network rate, which can limit your patient base.
Maintenance And Monitoring
Insurance agreements, CAQH, and hospital privileges necessitate adherence to a set standard of compliance, which must be upheld. Maverick Health Innovations serves as your compliance solution, providing maintenance service packages to ensure your billing remains on course.
