Simplify Your Credentialing
with Knack RCM

Credentialing FAQs

• What credentialing services does Knack RCM offer?

  Knack RCM provides comprehensive credentialing services, including payor enrollment, licensing, primary source verification, and rate negotiations.

• How does Knack RCM streamline the credentialing process?

  We use advanced credentialing software with a CAQH interface and customizable workflows to simplify and streamline the process for healthcare providers.

• What types of healthcare providers can benefit from Knack RCM’s credentialing services?

  We work with all medical and behavioral specialties, sub-specialties, and across all states.

• How does Knack RCM’s credentialing process help healthcare practices?

  Our services help practices meet insurance standards, ensure seamless reimbursement, build patient trust, and secure financial stability.

• Does Knack RCM offer credentialing solutions for group practices?

  Yes, we provide tailored credentialing solutions for group practices, handling all the details to simplify the process.

• How does Knack RCM’s credentialing service impact revenue?

  Our proven record shows we remove barriers, increase revenue, and reduce denials associated with credentialing.

• What makes Knack RCM’s credentialing services unique?

  We offer a mix of quality, efficient service, and competitive pricing, along with expertise in working with all payors and within all states.

• What is CAQH?

  CAQH (Council for Affordable Quality Healthcare) is an online data repository where healthcare providers can submit and update their professional information. It serves as a central hub for health plans and networks to access provider credentials, streamlining the verification process.

• How long does payor enrollment take?

  Payor enrollment typically takes between 90 to 180 days for each provider. However, this process can sometimes take longer due to various factors.

• What’s the difference between credentialing and payor enrollment?

  Credentialing is the process of verifying a provider’s qualifications, while payor enrollment focuses on verifying a provider’s eligibility to receive payment for services rendered. Credentialing is usually done by healthcare organizations or credentialing services, while payor enrollment is carried out by the health plan.

• How often does re-credentialing occur?

  Re-credentialing typically occurs every 1-3 years to ensure that providers maintain their credibility and patients’ safety. Payor enrollment, however, is usually a one-time process that’s only updated when necessary.

• Can Knack RCM help with CAQH profile management?

  Yes, Knack RCM can assist with creating, completing, and maintaining your CAQH profile, including quarterly attestations and document updates.

Why Knack RCM?