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Physician Credentialing Services

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Medical Billing

Physician Credentialing Services

Is your medical establishment or physician clinic entrapped in the complex, time-intensive, but crucial process of physician credentialing? Confirming qualifications, tracking renewals, and sustaining compliance can shift your concentration from your primary mission – delivering superior healthcare. Experience operational relief by delegating this administrative onus, while simultaneously ensuring a flawless credentialing process.

Drawing from the 20-year legacy of quality and reliability, our physician credentialing company excels in providing comprehensive physician credentialing services. Our proficiency lies in mitigating the bureaucratic hurdles intrinsic to credentialing, allowing you to concentrate on the crux of your profession – patient care. Collaborating with us gives you access to our dedicated team of professionals proficient in managing and refining your credentialing process. From data collection, verification, and privileging to continuous monitoring, we manage it all.

Mitigate risks, save time and resources, and uphold compliance to ensure smooth provider enrolment with our physician insurance credentialing services

Services

Driven by a team of seasoned professionals and equipped with cutting-edge technology, we stand at the forefront of medical billing credentialing services.

Initial Credentialing Services

We meticulously collate and verify each physician's qualifications, ensuring they have the necessary certifications and licenses, and meet your institution's specific requirements. Utilizing cutting-edge technology and our team's expertise in data analysis and compliance, we provide an accurate and efficient initiation into the credentialing process.

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Re-credentialing Services

Our credentialing company for physicians guarantees that your medical staff continuously meet the necessary qualifications and standards. With a blend of advanced tracking technology and our team's keen attention to detail, we ensure your staff's credentials remain up-to-date, maintaining optimal patient safety and your institution's reputation.

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Privileging Services

We assist with the process of authorizing the experience in patient care and the specific scope of healthcare practitioners. This includes liaising with the governing bodies, medical staff, and all the parties involved.

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Payer Enrollment Services

Our payer enrollment services ensure the seamless integration of physicians into insurance networks, leveraging our team's expertise in healthcare regulations and insurance protocols. We handle the entire process, from application preparation to submission and follow-up. Establishing this facilitates quicker reimbursements and improves your revenue cycle.

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Credentialing Verification Services

We offer meticulous credentialing verification services, where each credential is verified against recognized sources. Our team, equipped with a keen eye for detail and an understanding of regulatory standards, ensures the accuracy and compliance of each physician's credentials.

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Maintenance of Provider Credentialing Files

Our support does not end with credentialing. We ensure your records are always current, organized, and readily accessible. We help you secure, update, and maintain easily retrievable credentialing information by leveraging cloud-based technology and our team's proficiency in data management.

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Monitoring Services

Our monitoring services provide continuous oversight of each physician's credentials, utilizing real-time tracking technology and our team's vigilance in regulatory compliance. We promptly identify and address any potential issues, ensuring uninterrupted compliance and mitigating risks.

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In addition to the aforementioned services, we also provide support with

  • Review of Doctors' Qualifications
  • Supplier Acceptance and Documentation
  • Evaluation of Referrals
  • Preparation and Submission of Forms.
  • CVO Credentialing
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MEDICODEBILL's Physician Credentialing Services Process

We follow a streamlined physician credentialing service process in order to acquire exemplary results

  • Collect and evaluate the necessary application data with requisite documents and certificates from Payers
  • Formulate a unique credentialing strategy that selects top Payers that receive the claims of physicians
  • Retain, update, and audit the filed application, relying on Provider information directly with carriers when needed
  • Track and follow-up with insurance carriers regularly to ensure real-time status of the application
  • Receive Enrollment number from insurance carriers and brief physicians
  • Complete routine checks of expiration dates for NYS-registration, DEAs, MA registrations and CLIA registration to ensure faster re-applications and manage re-credentialing when required
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Comprehensive Services We Provide

In addition to our core offerings, we pride ourselves on delivering a wide range of supplementary services designed to meet your every need. Whether you require personalized consulting, ongoing maintenance, or specialized support, our team is equipped to provide tailored solutions that enhance your experience. We go above and beyond to ensure that all aspects of your requirements are met with the highest level of professionalism and care.

Additional Services You Can Benefit From

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Expedite your insurance claim procedures, ensuring swift and precise claim resolutions with our adept claims adjudication services.

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Medical Coding Services

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