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Christa Bernacchia   Email Christa

Christa Bernacchia

Email Christa

Credentialing & Enrollment Services

VantagePoint’s expert credentialing specialists understand the Medicare, Medicaid, and commercial  health insurance enrollment and credentialing process requirements, making our team members highly effective and efficient. We also provide on-going credentialing monitoring services to keep providers participating with the insurers and on staff with facilities: tracking deadlines, expiration and renewal dates, as well as all re-credentialing requirements. 

  • CAQH Registration

  • Commercial Insurance Provider Enrollment and Credentialing

  • Medicare and Medicaid Provider Enrollment and Credentialing


  • NPI Registration

  • Reimbursement Issues

  • Managed Care Contracting Issues

  • Hospital privilege applications and reappointments

  • DEA Registration

  • Medical License Application Processing and Tracking

VantagePoint has experience performing credentialing and enrollment services for all types and specialties of healthcare providers, including:

  • Independent Physicians & Medical Groups

  • Nurse Practitioners & Physician Assistants

  • Urgent Care Facilities

  • Telemedicine & Telehealth providers

  • Behavioral Health and Substance Use Disorder Providers

  • Physical, Occupational & Speech Therapists

  • Labs, ASCs & Imaging Facilities

  • FQHCs & Rural Health Clinics

  • Hospice, Home Health, and Skilled Nursing Facilities

  • Hospitals & Health Systems

Primary Source Verification

Achieving CVO certification from NCQA demonstrates that VantagePoint has the systems, processes and personnel in place to thoroughly and accurately verify your providers’ credentials. As a fully certified NCQA Certified Credentials Verification Organization, VantagePoint staff is trained in performing primary source verification according to stringent NCQA standards. 

Insurance Contract Negotiation & Contract Evaluation Services

VantagePoint can assist physician practices, facilities, or any new healthcare business in negotiating their contracts with commercial payers. VantagePoint can also assist with contract re-negotiations and evaluation of current insurance contracts.

Our contract evaluation and re-negotiation service for established healthcare providers and organizations includes:

  • Reviewing and analyzing all current agreements

  • Evaluate payer agreements, compare to regional market standards.

  • Propose a contracting strategy based on business goals and the current insurance climate

  • Determine whether capitation, exclusivity, preferred provider status, pay-for-performance is available with any payers.

  • Develop and implement a plan to renegotiate current insurance agreements.

CAQH Maintenance & Ongoing Exclusion and Sanctions Monitoring

A critical component to keeping providers actively enrolled with payers is to make sure their credentialing documentation is kept current. VantagePoint clients benefit from our high value, high touch approach to monitoring for expiring licenses, DEA or CDS registration, board certification(s), as well as professional liability insurance. Additionally, we will ensure CAQH is updated as needed or as required every 120 days. 

As a compliance-focused consultancy, VantagePoint encourages all our credentialing and enrollment services clients to maintain an ongoing exclusion and sanctions monitoring regimen. From the OIG exclusion list , to SAM and State Medicaid sanctions monitoring, VantagePoint can take care of this important compliance obligation on behalf of our healthcare credentialing clients.

Credentialing Consulting

Increasingly, healthcare organizations of all types are pursuing creative approaches to managing credentialing and enrollment processes, including insourcing previously outsourced services, full or partial outsourcing, accreditation, and delegated agreements. Organizations often need temporary support for new credentialing department set-up, policy and procedure development, project management for full or partial outsourcing transitions, establishing a credentialing committee, or improving existing credentialing department operations.

Through our first-hand experience as an NCQA-certified CVO providing credentialing and enrollment services for clients across the continuum of care, as well as our deep bench of compliance and revenue cycle consulting expertise, VantagePoint is uniquely positioned to offer Credentialing Consulting services. 

Our services are structured to be compliant with NCQA credentialing standards. VantagePoint is fully Certified by NCQA for 11 out of 11 verification services and meets NCQA’s credentialing standards for health plans. Achieving CVO certification from NCQA demonstrates that VantagePoint has the systems, process and personnel in place to thoroughly and accurately verify providers' credentials and help health plan clients meet their accreditation goals.


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