MDeverywhere is more than cloud-based practice management technology and expert medical billing services. MDeverywhere’s NCQA-certified CVO can manage your physician credentialing, recredentialing and medical staff appointment application process. We handle the application and primary source verification process, ongoing sanction monitoring and provide clients with a fully credentialed file meeting NCQA requirements -- All for a very affordable flat fee per file.

1. CVO and Enrollment Services

2. Credentialing Products
• Comprehensive Plan Enrollment
o Assisting practices since 2003
o Expertise & industry experience
o Proven results for over 3,000 providers
o Multi-state experience
o More cost effective than hiring credentialing staff
• Hospital Application Production and Submission
o New product to coordinate hospital privileging
o Share your credentials once for plan and hospital credentialing
• NCQA Certified Credentials Verification Organization(CVO)
o Delegated credentialing with minimal costs
o Credentialing for facilities, plans and hospitals

3. Comprehensive Enrollment Services
Reduce credentialing denials and keep up with new plans, re-
credentialing and expirables...
•Group and individual applications for all plans
•Medicare & Medicaid included
•Specialty Networks (behavioral health, radiology, etc.)
•Re-validations (Medicare & Medicaid hot topic for 2012
through 2015)
•CAQH always included
And...Hospital Medical Staff application service available

4. NCQA Certified CVO
Is your large group, facility or IPA responsible for credentialing your
providers?
●A CVO performs a quality review of providers for large physician
groups, facilities and health plans/networks with credentialing
responsibilities.
●Delegation for large groups can eliminate months of waiting for
plan credentialing. Ask us how.
●MDeverywhere CVI is among only 23 NCQA Certified CVOs
serving external clients

5. Expertise and Service
Personal and Professional service - Credentialing
Coordinator and Manager for each account
Loyal and satisfied clients since 2004
National Presence
Certified Professional Credentialing Specialist
(CPCS) on staff
Over 35 years’ senior-level health plan
experience

6. MDe RCM & Credentialing - Perfect Together
Credentialing and CVO services available independently
or in conjunction with our RCM solution
•Credentialing issues impacting claims are logged and tracked
until resolution
•Claims projects and re-submissions are handled without
delay
•New enrollment information communicated to operations
immediately
•New providers are credentialed in a timely manner - our
incentives are aligned - “No $$ left on the table”
•Unique RCM Solution with expertise in credentialing

7. The MDeverywhere Advantage
Reputation & Quality
Experience
Value

8. Enrollment Client Testimonial
“We have utilized your credentialing services for the past seven years for
our hospital-based group and have seen a marked improvement in our
receivables. Your credentialing staff is always
professional, polite, knowledgeable and most importantly available and
responsive to all our needs.”
Director, Patient Accounts for a large NY Metropolitan Hospital (500 providers credentialed -
enrollment client since 2004)

9. Contact Us
Jackie Mayer, MHA
VP, Manager Care & Credentialing
Phone: 631-232-4260 Ext. 758
Email: jackie.mayer@mdeverywhere.com
THANK YOU