Medical Credentialing
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 standardised 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?
- You can eradicate the time-consuming paperwork and fill out the application forms for provider credentialing and raise the graph of your profits.
- Our process of credentialing management and credential verification is centralized which helps you prevent the stress and accelerate the revenue.
- There is no delay in the credentialing process.
- Proficient processing of credentialing applications to get the in-network reimbursements.
- We ensure the error-free credentialing process that involves the effective overseeing of each step of provider enrollment.
Conquer the credentialing bottlenecks & make a financial gain with our Credentialing services
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 fulfil 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 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
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 personalised 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.