Medical Credentialing

Cut down your credentialing time up to 30% and generate the significant revenue in your practice.

Transform your practice with Errorless Medical Credentialing

We understand that credentialing is a significant aspect of enhancing the performance of your practice. We are renowned for providing the top and finest medical billing and provider credentialing services in the USA. We are your trustworthy partners in credentialing so you get the standardized credentialing services. With the help of our reliable and scalable credentialing solutions, you will save your time instead of wasting in a maze of credentialing and uplift your practice. With the help of credentialing, the complete information of providers is verified to ensure that they meet the standards or not to offer medical services. Compliance with state and federal laws is ensured by vetting of education, training, experience as well as licenses. 

You do not need to pay attention to the verification process of healthcare providers as with our professional and accurate credentialing, you can focus on your medical responsibilities. So prioritize your core expertise and allow us to handle the credentialing part of your practice.

Rationalize your Credentialing tasks with us!

Our approach to credentialing services is streamlined and hassle-free so you productively utilize your time and provide the best healthcare services. With the help of our credentialing services, you can reduce your provider credentialing time by up to 30% and acquire a rapid and elevated rate of revenue. We strictly follow the guidelines of the National Committee for Quality Assurance (NCQA) to ensure accuracy in credentialing and medical billing. If you are looking for customized credentialing solutions then you are at the right place.

Why choose the Medstar’s Medical Credentialing services?

We take care of your all practice details, so you take care of your patients. Get rid of your credentialing headache and join the flowing stream of revenue. With our efficient background checks for providers, you can stay calm and relaxed.

Conquer the credentialing bottlenecks & make a financial gain with our Credentialing services

Let MedStar Billing services simplify the process of the credentialing process so your medical team can pay more attention to providing the desired patient care. We make the credentialing workflow smoother and easier so you avoid considering the credentialing requirements and get real-time results. We offer a broad range of credentialing services and provide exceptional support in the following ways:

Complete management of Credentialing

Our credentialing process avoids delays and efficiently manages the complete process of credentialing including verification of background details.

Contracting with Insurance Carriers

We work with the leading commercial insurance providers so with the help of our credentialing services, you can connect with the right network and enroll with Medicaid, TRICARE, Medicare and commercial insurance carriers.

EFT/EDI/ERA Enrollment

Electronic data interchange, electronic funds transfer and electronic remittance advice play a major role in billing and payment processing. Our credentialing service helps in handling the paperwork so you can enroll in these systems. In this way, you can rapidly receive the payments and also track the claims.

Documentation

We also keep a check on the documentation handling process so your documents fulfill the requirements of the credentialing process.

CAQH Enrollment and Maintenance

Most insurance carriers use different databases such as CAQH for the verification of provider’s information. We also make sure that your CAQH profile is accurate and credentials are ready for the process of verification.

Enrollments in federal programs

We also regulate the enrollment process of providers in federal programs such as NPPES, PECOS and submission is performed appropriately to prevent approval delays.

Enrollment in Commercial Insurance

We also assist in effective enrollment in commercial insurance networks so the submission of your applications is accurate and results in increased participation in these plans.

Significance of Medical Credentialing for Providers

Accurate credentialing is extremely significant for healthcare providers due to the following reasons:
Participation in Insurance Networks

Credentialing is necessary to join the insurance panels so you can deliver your services to the patients who rely on Medicare, TRICARE, Medicaid and commercial insurance plans.

Ensure Compliance

Appropriate credentialing also assists healthcare providers in making sure that they are compliant with rules and regulations that control the delivery of healthcare services.

No denials and penalties

Credentialing also helps in minimizing the risk of denied claims, and legal action and results in greater revenue.

Medical Credentialing : A Never-Ending Process

The process of credentialing is a continuous process as the renewal of credentialing is performed regularly and up-to-date records are maintained with various insurers. We understand that each insurance company whether commercial or federal exhibit diversity in terms of requirements, process of renewal and timelines. Therefore, we provide personalized solutions for credentialing for healthcare providers so they can manage their all practice tasks with ease.

Credentialing involves working with databases such as CAQH (Council for Affordable Quality Healthcare). This functionality is to ensure compliance with federal programs.

Frequently Asked Questions

Credentialing is the validation process of a healthcare provider in a private health plan. This process is essential for the provider to get approval to join the corresponding network. However, contracting involves the negotiation with insurance company and signing a contract to become a part of their network.
The credentialing process takes on average 90 to 120 days. However, this time duration can be reduced to about 90 days if you hire credentialing specialists from the billing sector.

Send us a message

Whenever you need us, our expert support is here for you. So let’s start the conversation to get our results driven billing services.
Scroll to Top