Medical credentialing services for hospitals, clinics and private practices

We Provide the trustworthy Medical credentialing services to Empower Hospitals, Clinics, and Private Practices

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Reliable Medical Credentialing Services for All Healthcare Providers

Outsource with our authentic medical credentialing Services to stay compliant and focus on what truly matters - patient care. Don’t let administrative tasks slow you down. With our medical credentialing solutions, we verify and assess every physician’s qualification, training, experience, and licensure to meet the standards of your healthcare organization. Partner with our credentialing specialist today for a fast credentialing process.

Medical Credentialing Services and solutions for healthcare

Core Advantages of Availing Health Care Credentialing

Focus on providing the outstanding services for Health Care Credentialing. We accelerate your reimbursements with our professional credentialing services and solutions. Get authorized and reduce enrollment holds with insurance agencies.

Primary Verification Excellence

We ensure credentialing services for providers are authenticated accurately and efficiently. By verifying their education, training, licensure, and certifications directly with issuing Authorities, we guarantee compliance with federal regulations. This approach accelerates credentialing and enrollment.

Provider Enrollment & Credentialing

Simplifying the complex medical provider credentialing process with insurance networks, and other payer organizations. The comprehensive support of completion and submission of enrollment applications allows providers to start their practice without administrative delays.

Continuous Compliance Assurance

We monitor and update provider credentials, anticipating changes and ensuring uninterrupted compliance with regulatory standards. This streamlines administrative processes and reduces the risk of non-compliance penalties, for high-quality patient care.

Expedited Hospital Privileges

Get thorough support for obtaining hospital, clinic and practices privilege credentialing. Experts will manage the intricate credentialing requirements and accelerate the approval process, so providers can begin delivering care swiftly. This hassle-free service removes administrative burdens and enables excellent patient care.

License Support

The team assists healthcare providers and organizations through every step of the licensing process, covering physician, non-physician, DEA, EDI, ERA, EFT, CDS, CLIA, and group licensing. We manage applications, ensuring all documentation is complete and accurate for timely licence acquisition.

Optimized Contract Solutions

Leverages our industry expertise and data analytics to negotiate beneficial payor contracts for healthcare organizations. By securing favorable reimbursement rates and contract terms, we help maximize financial performance. Get ensured for the best possible terms, and enhanced profitability.

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Quick and Hassle-Free Medical Credentialing Process

Streamline your Medical Credentialing Process with our experienced health care credentialing team. As a center of medical credentialing services we make sure the highest standards of compliance and help practices head and shoulders above their peers.

  • Gather all necessary documentation.

  • Investigate payer-specific requirements.

  • Fill out the credentialing application thoroughly.

  • Send in the completed application.

  • Regularly check the application status.

  • Confirm the application is reviewed and approved.

  • Finalize and sign agreements.

  • Continuously update and maintain credentials.

Medical Billing Credentialing Services Work Flow
Medical Billing Credentialing Services Work Flow

Get Provider Credentialing Service in 4 Steps

Start with Your Requirements

In the initial phase, we work with you to understand your specific credentialing needs and requirements. This involves discussing the type of practice, desired insurance network participation, and any unique preferences or priorities you may have.

Schedule Meeting

Once we get all the initial requirements from your end, then we schedule a meeting of the provider with a medical credentialing specialist. The expert will lead throughout the process, and in a meeting, things will get clearer than ever before.

Move to Credentialing Specialist

Once your requirements are clear, our dedicated credentialing specialists will start managing the process. They take over the comprehensive data collection, conduct primary source verification, and prepare your applications with extensive payer protocols.

Tracking and Reporting

After submissions, we maintain vigilant oversight of your credentialing applications with detailed tracking and reporting. You'll receive regular updates on the status of each application, ensuring transparency and accountability throughout the entire process.

Key Performance
& Indicators
10 Years
Industry Experience
3%
AR Rejection Rate
Indicators
100%
HIPAA Compliance
Timely
Filling
90%+
Collection Ratio

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Offering Medical credentialing services in 30+ Specialties

As professional Medical credentialing services, we track and report detailed record with standard regulations for more than 30 specialities.

Family Medicine
Physical Therapy
Mental Health / Behavioral Health
Laboratory Billing
Chiropractic Care
Telemedicine
Pain Management
Dermatology
Family Medicine
Mental Health / Behavioral Health
DME
Laboratory Billing
Pain Management
Dermatology

What Our Clients Say

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Frequently Asked Questions

To get swift help with physician credentialing services, reach out to a reputable healthcare credentialing company like ours. We offer comprehensive credentialing services that are personalized to your needs. Contact us directly via phone or email for immediate assistance and utilize our dedicated credentialing specialists for prompt resolution and support throughout the process. This ensures efficient handling of all your credentialing, insurance, and billing needs./div>

Physician credentialing requires verification of a provider's education, training, licenses, and work history. This process, essential for Medicare and Medicaid participation, involves obtaining documents such as diplomas, board certifications, and proof of insurance.

Red flags in the credentialing process include discrepancies in work history, malpractice claims, licensing issues, or incomplete documentation. Thorough background checks and verification are crucial to identify and address these potential issues early.

The three types of credentialing include primary source verification (ensuring the authenticity of documents), insurance credentialing services (provider enrollment with insurance networks), and CME tracking (staying compliant with ongoing education requirements).

Credentialing occurs first, establishing the provider's qualifications and compliance with healthcare and insurance standards. Subsequently, privileging follows, which grants providers specific duties within a healthcare facility based on their verified credentials.

The medical credentialing process varies in duration, typically taking 60 to 120 days. Factors influencing this timeline include providers' response to information submissions and insurance and health systems' efficiency in processing applications.

Costs can vary based on specific requirements and services offered. Contact us for a detailed quote.

Typically, documents include copies of medical licenses, board certifications, malpractice insurance, and a detailed CV. We provide a comprehensive checklist to ensure you have everything required.

The main stages of credentialing services typically include Initial Credentialing, where a provider's qualifications are verified; Re-Credentialing, which periodically re-verifies the provider's qualifications; and Provisional Credentialing, granting temporary practice privileges during the credentialing process.
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Time to secure high-paying contracts and maximize revenue. We negotiate favorable terms with insurance payers, manage revalidation and credentialing, and audit reimbursement issues.

Optimize your revenue and focus on patient care

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3406 Spotted Fawn Crest Ct, Richmond, TX 77406