Provider Credentialing

Provider Data, Management & Credentialing

Overwhelmed with maintenance, credentialing, or compliance. Advanced Quality Compliance offers all the steps in provider credentialing.

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What is Provider Credentialing?

Provider Credentialing or Primary Source Verification is the process of organizing and verifying a provider’s professional records. Their NPI, professional licenses, diplomas, certifications, attestations and professional references make up a provider’s professional credentialing file. This process is completed every 2-3 years depending upon an organization’s accreditation status. The process of credentialing is to verify the accuracy and specific data in a provider’s documents as required by different accrediting entities.

Our Expertise

CVO Services Initial/Recred

AQC provides concierge credentialing in line with NCQA credentialing standards.

Hospital Credentialing

AQC has over 20 years of expertise working to submit medical staff applications

Sanction Monitoring

AQC monitors sanctions in over 200 federal and state monitoring databases.

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What is PSV?

Primary Source Verification

When a provider applies for privileges at a Hospital, Surgery Center, Insurance Companies and/or Physician Organization. They are required and requested to complete an application and allow the credentialing entity to research their educational and professional history. Our provider credentialing specialists will help you and your organization thru the entire process.

Organizations will verify with other third-party agencies, and possibly request a credit report or criminal background search. This process is called Primary Source Verification (PSV) which is the process of requesting and receiving verification of a provider’s stated credentials from the college or other entity that issued the diploma or certificate.

It is very important that your documents are accurate and they all match. Problems begin when there are inaccuracies and discrepancies between various records. Another problem area can occur when professional references do not respond in a timely manner, making sure that CVOs have all the needed items to verify helps the process run smoothly. AQC has many proven methods to close files within 30 days.

AQC saved us hours of work

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AQC Advantage

AQC Exclusive - Concierge Credentialing

About Our Company

Our Mission is to Become The Best Company

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Expert Members

Meet Our Amazing Team

Shannen Aguayo

President

Zuriel Ortiz

Data Manager

Amaya Reyes

Monitoring Manager
Testimonials

What do Our Clients say About AQC?

Our goal is to deliver on every request and need our customers may require of us. The fast-paced world of Provider Credentialing and

Caring staff; Professional and Efficient

We have used Advanced Quality Compliance & CVO for the past 3 years. Shannen and her staff take care of all our credentialing needs for the multi-specialty surgery center we have as well as the ENT practice we have. We have 50 + providers in our surgery center and our ENT practice has 4 locations with 6 practicing ENT physicians as well as a nurse practitioner. Her company has a website you will have access to so that at any given time you can access your provider/facility credentialing documents/information all in one place. They provide me with an updated list of all our upcoming expirations each month. It has been a huge convenience to not have the added stress of trying to keep up with all of this myself. I highly recommend Shannen and her staff. They are most helpful and efficient.

Mary

Arlington, Texas

5.0 rating based on 1,234 ratings
Knowledgeable and Highly Recommended!

We have worked with AQC since 2017, I have been very much satisfied with their expertise and knowledge in the provider enrollment and credentialing process. Shannen and Elizabeth are WONDERFUL to work with, I don’t consider them “vendors” I consider them as my fellow co-workers. Anytime a new provider comes on board they immediately begin the enrollment process, when a new contract is needed to become in network with a new payer they get it taken care of quickly. They’re 24/7 availability is so awesome to have knowing we will be taken care of.

Robert

Lamesa, Texas

5.0 rating based on 1,234 ratings
So Grateful for Them!

I honestly do not know what I would do without AQC. I have been at United Health Centers for almost two years doing all of the billing for 18 providers. They are not all full time; however, as you know the credentialing still has to be done and the provider numbers set up with each insurance carrier. I am now using their checklist for the credentialing process to encourage our HR Department to gather the information from new providers during the hiring process. It is certainly starting them out on the right path to success. What I like is the fact that they keep up with all of the rules and regulations and just let me know when and what is needed to keep my providers credentialed. They go above and beyond to help me understand how it all works together with regular updates on what’s current, about to expire, or maybe just needs to be on my radar. Each member of the staff at AQC is equally important to me as they keep up with different aspects of the process and keep me informed.

Shirley Kotofsky

CPC, North Carolina

5.0 rating based on 1,234 ratings
Always meet my insanely difficult deadlines!

I am actually out on maternity leave, but would be glad to give you some feedback for advanced compliance. They are amazing to work with, always meet my insanely difficult deadlines, and are easy to reach anytime. I feel that Shannen has always gone over and beyond for me and other customers. She saves me hours and hours of work, keeps us up to date on being compliant. I actually just went through a Medicare audit and passed with flying colors with no deficiencies in our surgery centers’ credentialing

Erin Lowrie

Director; Eugene, Oregon

5.0 rating based on 1,234 ratings
Certifications