MEDICAL CREDENTIALING
“Accept More Patients, Grow Your Practice”
This is lengthy, tedious work. There are many payers to work with, so the huge paper work varies from payer to payer, requiring the repetitive of work as well. Also you have to follow up & finally you may have to re-credential. Keep off this hassle & let us do all credentialing for you. When we do it you can rest assure it that it will be done both correctly & in timely fashion. We will keep you updated proactively with the progress of each payer.
HOW IT WORK ?
Sign Up ?
> Sign up for credentialing service by accepting a formal services agreement and BAA (Business Associate Agreement) which comply with HIPAA.
Data Collection ?
> We collect all pre-requisites from physicians for filing credentialing applications to insurance using HIPAA-compliant platforms such as FTP etc.
Submit Application ?
> We Submit the completed credentialing applications to insurance and save a copy of it for future references for each insurance.
Follow up ?
> We call insurance carriers on a regular basis to track the status of applications, and provide insurance carriers with additional information right away if demanded.
Get provider Number ?
> we obtain contracts and provider number from insurances with effective date and communicate to provider or billing staff.
Reporting ?
> We will provide you great reporting in form of credentialing calendar that will give you great reminders for expiration and re-credentialing of insurances well before time.
OUR SERVICES INCLUDES
- Individual Provider Enrollment / Medical Credentialing (Getting on Insurance Panels)
- Group Provider Enrollment
- CAQH Completion and Management
- Primary Source Verification
- Hospital Privileging / Medical Staff credentialing
- Re-credentialin Credentialing Appeals
- Contract Renegotiation
- New Practice Setup
- Business Registration
- NPI Registration
- Adding New Provider
- Add New Insurances To Panel
- DEA Number and Hospital Privileges
- New Licensing and Renewals
Outsourcing Benefits
THERE IS “NO” REVENUE CYCLE WITHOUT PROPER
“CREDENTIALING”
- Pay as per applications
- Review of contracts and negotiate if applicable
- only 50% upfront
- Proper step-wise application process
- Payer evaluation to choose the best payer in your area
- No hidden or extra charges
- Professional team know exactly what to do
- pay as low as $200 per application
- Bi-weekly status report
- Free consulation for a start up meeting
- Provider credentialing Services for all 52 States and 100 Plus Specialties
From small to large, we provide services all/any healthcare companies, including
- Solo Practices
- Physicians
- Dentists
- Psychology Counselors
- Physical, Occupational, and Speech Therapists
- Group Medical Practices
- Large Medical Centers
- Healthcare Facilities
- DME Companies
- Home Health Agencies