Credentialing: The Foundation of Your Cash Flow. Get It Right the First Time
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Credentialing for all payers with all necessary tracking to completion of the process.
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Professional credentialing allow you to concentrate on patient care.
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Proper credentialing to reduce your billing issues.
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Changes in your practice or business status affect your reimbursement.
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Expertise with CAQH, Medicare, Medicaid, all commercial insurances, and the enrollment processes.
How Do We Do Credentialing
Our credentialing process is comprehensive, yet simple for our clients:
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Initial consultation to understand your specific needs.
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Collection and verification of all necessary documents.
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Submission of credentialing applications to insurance networks.
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Regular follow-up to ensure timely completion.
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Assistance with re-credentialing as necessary.
Have
More Questions?
Our services are specifically tailored for pain management practices, addressing coding intricacies, compliance challenges, and patient communication nuances unique to the field. The auditing will be led by practioners with 10+ years practice management/billing experiences in Pain Managements and executed by team members with hands-on billing experience with multiple pain management practices. Our comparison and recommendations are more pertinent, less general to your specialty.
By optimizing coding accuracy, streamlining workflows, and ensuring compliance, our services are designed to maximize reimbursement and reduce processing time and costs, contributing to more efficient cashflow. If you are planning growth for your practice, our analysis will highlight the priorities for your trajectory from “lower hanging fruits”, “urgent care” to new services that are most befitting to your existing market and strength.
We proactively adapt to changes in pain management standards, including updates to CPT codes and documentation requirements. Our goal is to ensure your practice remains resilient to industry changes.
We leverage advanced data analytics tools to track pain procedure performance, patient outcomes, and key metrics. This data-driven approach supports informed decision-making and continuous improvement.
It depends on the scope of the audit. For simplier assignments such as diagnostic audit on specific service line or procedures, the cost starts at $2,000. Part of the auditing cost can be used as credit for future project/services.
Depending on the scope, especially number of data sources, the project duration varies but our client can see the audit report in as soon as 10 working days after providing the data for the project. The cooperation of the practice is the key for the speed of delivery.
Your Practice Revenue Performance Dashboard is a comprehensive, customizable tool designed to help you to monitor, analyze, and optimize your revenue cycle. It provides real-time insights into key financial metrics, billing efficiency, and operational performance. It goes beyond the standard EMR or other siloed applications so you can have a “Big-Picture” view in one place.
Yes, our dashboard is highly customizable. You can select from various modules and metrics to tailor the dashboard to your practice’s size, specialty, and specific reporting needs. It can be much more than billing information. Many of our clients incorporate their marketing campaign data in the dashboard to better manage the pipeline.
The dashboard tracks a wide range of KPIs, including but not limited to: net collections ratio, claims denial rate, days in accounts receivable, provider utilization, appointment no-show rate, patient acquisition/retention rates, provider performance(if multi provider practices), profitability by service line for investment opportunity evaluation.
Yes, our dashboard is fully compliant with HIPAA and other relevant data privacy regulations. We implement robust security measures to protect your sensitive patient and financial data. If you have extra concern, our dashboard works well with PHI suppressed data.
Absolutely. We provide comprehensive training and ongoing support to ensure you and your team can fully leverage the dashboard’s capabilities.
We offer flexible, subscription-based pricing models tailored to your practice’s size and needs. Our billing clients can get it at significant discount. Some of the clients get access to this customized dashboard without additional charges. Please contact our sales team for a personalized quote.