With over 15 years of experience in medical billing and revenue cycle management (RCM), we bring a deep understanding of the complexities involved in provider credentialing and payer enrollment. Our expertise allows us to efficiently navigate the credentialing process, ensuring that healthcare providers are enrolled accurately and on time to avoid disruptions in reimbursement.
By leveraging our background in billing and RCM, we understand how credentialing errors can lead to claim denials, delayed payments, and revenue loss. That’s why we focus on precision, compliance, and proactive management to keep your credentials up to date, reducing administrative burdens and maximizing your ability to receive timely reimbursements.
Keep your CAQH profile up-to-date for seamless credentialing.
CAQH (Council for Affordable Quality Healthcare) is a centralized database that many insurance companies use to verify provider credentials. Keeping your profile updated is crucial to ensuring smooth credentialing and avoiding delays.
🔹 Initial CAQH profile setup
Joining an insurance company’s provider network allows you to accept patients with insurance coverage and receive reimbursement for services. The enrollment process can be complex, but we streamline it by handling:
🔹 Applications for commercial payers (BCBS, Aetna, Humana, etc.)
🔹 Paperwork submission
🔹 Follow-up and tracking to ensure approval
Medicare and Medicaid credentialing comes with strict regulations and detailed requirements. Errors or delays can lead to rejected applications and revenue loss. We help by:
🔹 Completing and submitting Medicare/Medicaid applications
🔹 Ensuring compliance with state and federal regulations
🔹 Handling revalidation requests to keep your credentials active
Many insurance payers require providers to renew their credentials every 2-3 years. Failure to re-credential on time can lead to claim denials, loss of payer contracts, and compliance issues.
🔹 Proactive tracking of re-credentialing deadlines
🔹 Updating and resubmitting required documents
🔹 Verifying provider details with payers
🔹 Avoiding disruptions to your revenue cycle
We possess expertise, professionalism, and a commitment to being meticulous and productive.
We are members of AAPC (American Association of Professional Coders) and we are Certified Professional Billers.
Due to the ever-evolving nature of the medical field, we engage in continuous learning by actively participating in various classes and conferences. This enables us to remain informed and up to date with the latest developments in the field.
We strive to stay in communication with our clients. Have a question about our services or want to see if we match your needs? Send us a message.
Mon | 09:00 am – 05:00 pm | |
Tue | 09:00 am – 05:00 pm | |
Wed | 09:00 am – 05:00 pm | |
Thu | 09:00 am – 05:00 pm | |
Fri | 09:00 am – 05:00 pm | |
Sat | Closed | |
Sun | Closed |
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