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Credentialing2023-05-12T16:26:11+00:00

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.

  • Professional credentialing allow you to concentrate on patient care.

  • Proper credentialing to reduce your billing issues.

  • Changes in your practice or business status affect your reimbursement.

  • Expertise with CAQH, Medicare, Medicaid, all commercial insurances, and the enrollment processes.

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How Do We  Do Credentialing

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Our credentialing process is comprehensive, yet simple for our clients:

  • Initial consultation to understand your specific needs.

  • Collection and verification of all necessary documents.

  • Submission of credentialing applications to insurance networks.

  • Regular follow-up to ensure timely completion.

  • Assistance with re-credentialing as necessary.

     

What We Do for Credentialing and Contracting 

We provide services for individual/solo providers, medical groups, clinics, physician assistants, and nurse practitioners.

  • Credentialing for all payers with all necessary tracking to completion of the process.

  • Professional credentialing allows you to concentrate on patient care.

  • Proper credentialing to reduce your billing issues.

  • Changes in your practice or business status affect your reimbursement.

  • Expertise with CAQH, Medicare, Medicaid, all commercial insurances, and the enrollment processes.

  • Medicare / Medicaid managed care, Blue Cross Blue Shield, Ambetter, Affordable Care Act Plans, Cigna, Aetna, UHC, Multiplan, Scott & White, Humana, Tricare among others.

  • First-time submission of credentialing packets correctly reduces rejections.

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More Questions?

What makes your pain management billing audit services unique?2024-01-25T19:31:15+00:00

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.

How will your audit services benefit my pain management practice financially?2024-01-25T20:00:54+00:00

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.

How can your services future-proof my pain management practice?2024-01-25T20:03:51+00:00

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.

What data analytics tools do you use, and how do they benefit pain management practices?2024-01-25T20:05:41+00:00

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.

How much do you charge for an audit?2024-01-25T20:38:14+00:00

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.

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