Top Physician Credentialing Company
2x Faster, 10x Smoother
1st Class Reimbursement
Our physician billing and credentialing services guarantee you first-class reimbursement by meticulously handling credentialing, ensuring your practice promptly receives the financial compensation it deserves.
Maximum Privileges
We secure you maximum privileges within healthcare networks, opening doors to an expansive patient base and boosting your practice's growth potential.
Billing-Ready
With us, your practice will always be billing-ready, reducing delays and ensuring a steady flow of revenue so you can focus on patient care.
Swift Reimbursement
Experience swift reimbursement with our efficient credentialing process, enabling you to access funds faster and maintain financial stability.
Payer Support
Our expert team offers dedicated payer support, navigating the intricacies of insurance providers to minimize obstacles and expedite claims processing.
Minimize Denials
Count on us to minimize claim denials through our meticulous credentialing, reducing revenue loss and enhancing your practice's financial health.
We Enroll Providers In Premium Payer Networks In Record Time!
Physician credentialing companies ensure that healthcare providers, such as physicians and healthcare facilities, meet specific qualifications and standards set by insurance companies, regulatory bodies, and healthcare networks. These services play a pivotal role in helping providers by verifying their qualifications, licenses, certifications, and experience, ensuring they are eligible to provide services within a particular network or to receive reimbursement from insurance companies.
Credentialing is a meticulous and time-consuming process that involves gathering and verifying extensive documentation from healthcare providers. This documentation includes licenses, certifications, education records, malpractice history, and more. Once all requirements are met, the provider is granted credentialing status, allowing them to participate in insurance networks and receive reimbursement for services rendered.
Providers need credentialing services for several reasons. Firstly, it is essential for gaining access to a broader patient population covered by insurance networks, expanding their practice, and increasing revenue. Secondly, it ensures compliance with regulatory requirements, reducing the risk of legal and financial penalties. Lastly, credentialing services streamline administrative tasks, saving time and resources that providers can redirect toward patient care.
At Physician Credentialing Company, we understand the unique challenges healthcare providers face when it comes to credentialing. Our specialized services are designed to simplify the complex credentialing process, ensuring that you achieve your goals efficiently and effectively. With our expertise and dedication, we expedite your credentialing, getting you access to insurance networks faster, reducing administrative burdens, and minimizing denials.
Boost Your Practice with Lightning-Fast Credentialing
Physician Credentialing Company is your trusted partner on the path to successful healthcare practice, providing first-class reimbursement, maximum privileges, billing readiness, swift reimbursement, payer support, and denial reduction. Choose us to unlock your practice’s full potential and experience the benefits of top-tier credentialing solutions.
Physician Credentialing Process
A Closer Look at our Provider Credentialing Process
At Physician Credentialing Company, we excel in streamlining the provider credentialing process with precision and efficiency. Our commitment to excellence extends to the careful preparation and timely submission of applications, boasting an impressive on-time submission rate of 97%. Our process includes the following steps:
1
First, we thoroughly survey the provider, gathering all necessary documentation and verifying qualifications, licenses, and certifications. The process also includes conducting comprehensive interviews with providers to obtain personal data such as demographics and professional background.
2
Next, we carefully choose the most suitable insurance companies based on the provider’s specialization and preferences. With a proven track record of achieving network participation for 95% of our clients, we strategically select insurance providers that align with the provider’s practice goals and patient demographics.
3
With our extensive services, experience a hassle-free CAQH enrollment process. Our areas of expertise include submitting CAQH applications, expertly maintaining ProView accounts, and making sure your credentials are up-to-date for stress-free primary source verification. This facilitates rapid integration into insurance panels and accurate profiles, which promote network involvement and, eventually, contribute to a higher standard of patient care.
4
Even though the industry norm frequently stipulates a 60–120-day timeline, our devoted provider credentialing professionals are willing to work with you to expedite the approval process. Being proactive is our specialty; every week, our staff engages with payers to advocate on your behalf, ensuring that your credentialing applications are processed quickly and approved.
5
Medical provider’s application will move to contract stage once the credentialing process is completed. In such cases, an in-network contract with pricing schedules and accepted CPT billing codes may be provided. The network will manage the challenges and appeals against your provider enrollment. With a smooth credentialing process, reimbursements become easier for in-network medical providers.
6
We will be actively participating while certification ends. We assist you in obtaining the necessary hospital privileges, including surgery rights, courtesy privileges, and admitting privileges.
Complete Provider Credentialing Solutions
With Provider Credentialing Company, finish your credentialing process now.
Provider Credentialing Company enables organizations and healthcare providers to receive comprehensive physician credentialing services. Have a look at the process involved in provider enrollment and physician credentialing services we offer
Provider Enrollment And Credentialing Services For Healthcare Organizations
Physician credentialing companies are important to provide credentialing service so organizations can streamline quality patient care, maintain compliance, and attract patients. Our all-in-one physician credentialing services navigate providers through credentialing challenges. These services are for
With our improved credentialing services, you can obtain quick access to insurance networks and focus on providing prompt patient treatment, which is essential for building patient and peer trust.
Physician Credentialing through our program allows PAs and NPs to broaden the scope of their practices by ensuring that they are certified to offer important medical services independently.
Registering with us makes it less challenging for hospitals to process insurance claims and allows medical teams to collaborate more efficiently.
Psychiatrics
Become more prominent in the field of mental health care. By providing insurance networks with access, our credentialing solution broadens your patient base and helps you build lasting relationships.
Therapists
As a therapist, increase your impact. You can connect with more clients with our credentialing service, freeing up your time to concentrate on delivering significant and individualized therapy care.
Our credentialing service enhances the visibility of chiropractors in the medical world by giving them access to insurance networks and promoting widespread patient involvement and interaction.