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We’re here to provide you with tailored medical billing solutions that streamline your process and maximize revenue. Let’s discuss how we can assist you in achieving seamless billing operations.
Stay Stress-Free with Our Medical Billing Credentialing Services
Credentialing can be above all associated with the management of documentation and paperwork, but it is a necessity for the practice to thrive meaningfully without compromising on ethics and legal requirements. Credentialing medical attests that healthcare professionals possess the minimum required qualifications as defined by the insurance company, healthcare facility, or any other related organization. In the absence of sufficient credentialing, claims may be denied, compliance issues may arise, and the number of patients that can be treated may also be restricted. Our Credentialing Services focus on ensuring that your providers can bill the respective insurers with no hitches which helps to maintain the flow of funds into the practice and improves its standing in the healthcare industry. Our specialized team verifies each patient's insurance coverage, co-pays, deductibles, prior authorizations, and benefits before service is rendered to your practice. This reduces the denied claims and billing issues, prevents unexpected patient balances, and optimizes cash flow in your practice.
Our Professional Credentialing Services
Provider Enrollment & Credentialing
Let us take care of payers' enrollments and contracting for you so you have nothing to worry about when it comes to errors or inefficiencies.
CAQH Credentialing & Maintenance
Create, validate, and maintain your CAQH profiles for any form of credentialing meeting the payer requirements without any fuss.
Re-Credentialing Services
Stay good all-time through our timely re-credentialing services with everyone for the individual payer's requirements.
Medicare & Medicaid Enrollments
Benefit from getting help now either for your initial or renewal enrollment processes so you can acquire smooth approvals.
EFT Enrollments
Make billing easier by simply being enrolled in electronic transactions, such as EDI, ERA, and EFT.
Contract Negotiation
Increase reimbursement by letting our experienced professionals negotiate payer contracts for you.
Expert Medical Insurance Credentialing Service is Just a Click Away!
Experience the smooth billing process with our best medical credentialing company and maximize your patient satisfaction.
Why Taking Medical Insurance Credentialing Services is Right choice?
Smooth Credentialing for Continuous Compliance
Insurance and regulatory compliance are a must in the fast-moving healthcare world. However, credentialing is a time-consuming and complex process involving much detail and follow-ups. We make credentialing seamless to keep your practice constantly compliant, without the administrative burden. Our staff handles everything from initial applications to renewals to ensure that your providers' credentials are up-to-date and compliant. We avoid lapses in credentialing that can prevent service as well as delay this means you and your practice don't have to worry about anything going wrong.
- Proactive Compliance Management
- Accurate Document Management
- Ongoing Compliance Monitoring
Rapid Onboarding to Accelerate Revenue Cash Flow
The delay caused by the lack of credentialing can short-circuit your ability to serve patients and subsequently, produce revenue. This is most impactful when getting new providers onboard at your group. Our credentialing services are designed to shorten your time to get enrolled on any panel to start billing and treating patients sooner. Through our medical credentialing specialist, we help shortcut through each insurance network's labyrinthine maze to spot and remove bottlenecks in the onboarding process for the network. We help to facilitate a smooth cash flow and let your practice expand at a normal pace by accelerating the timeline of credentialing.
- Fast-Tracked Insurance Panel Enrollment
- Track Status in Detail
- Customized Credentialing Services
Our Success in Numbers
We have been doing this a long time.
$100M+
Value of claims processed in 2023
99 %
Accounts Receivable Days
24
Value of claims processed in 2023
48 Hours
Turn Around Time (TAT)
26 Days
Turn Around Time for Payment
1,000,000
Number of Claims Processed
99%
Customer Retention
98%
First Pass Clean Claims Rate
10-15%
Revenue Improvement
33%
Reduction in A/R
What Our Customers Are Saying
"Medical Care Billing has transformed the way we manage our billing. Their attention to detail, accurate claims processing, and follow-ups have significantly improved our cash flow. "
Dr. Samuel Carter
Gastroenterology Specialist
"Our revenue cycle's more efficient than ever since Medical Care Billing Their coding and denial management expertise was invaluable to our practice."
Dr. Angela Hughes
OB/GYN
"Credentialing used to be a daunting task for our staff, but Medical Care Billing has made it easy. Their proactive communication and thoroughness stand out."
Mark Richardson
Clinic Administrator
"With their medical billing and front desk services, we’ve been able to reduce administrative burdens significantly. It’s allowed us to focus more on patient care."
Dr. Elaine Ford
Allergy and Immunology
"Wow! What a difference working with Medical Care Billing has made. Our billing is finally stress-free, and payments come in faster than ever!"
Dr. Linda O'Connor
Top 10 Medical Billing Companies
Trust Your Billing To The Company That Ranks
Almost 93 %
Clean claim ratio
About 91 %
1st submission pass rate
Up to 28 %
Revenue Increase
Benefits of Choosing Us for Healthcare Credentialing Services
Experienced Credentialing Specialists
Our credentialing team has long experience in dealing with the intricacies of provider enrollment and credentialing, ensuring maximum accuracy and efficiency at every level.
Reduced Administrative Burden
When you outsource your credentialing to us, you free up your staff from the burden of such functions so they can focus on patient engagement and other priority matters.
Personalized Support and Transparency
We communicate clearly and expedite timely support throughout the credentialing process, informing you of any status regarding each provider as well as handling any issues that may arise.
Proactive Deadline Management
Our team proactively monitors deadlines related to renewal and updates to ensure your credentials are always current and interruptions in billing or patient care don't happen.
Enhanced Speed to Revenue
Enhanced speed can help crib revenue flow and avoid depriving patients of timely care.
In-depth knowledge of insurance networks
In such a way, we design the credentialing process in line with the needs of your practice, saving time and ensuring that you can cover a large patient base.
Know before you Jump in
Medical Credentialing is a process that refers to the verification of a healthcare provider's qualifications, training, and eligibility to participate in the networks of insurance. It is crucial as it ensures compliance, allows providers the opportunity to bill insurers, and builds trust with patients, eliminates claim denials, and ensures that your practice meets payers' and regulatory requirements.
The renewal cycle varies by payer but is typically every 2 to 3 years. Our team tracks the credentialing status for each of your providers and manages all renewals so your credentials stay current and compliant.
Yes, we can credential new providers with all the insurance networks as soon as possible. Our fast-track credentialing process eliminates long waiting lines so new providers begin seeing patients and collecting their claims from the insurers earlier.
Our team monitors renewal dates to ensure that our providers' credentials will not expire. Issues like missing documentation or delayed payer replies are addressed as soon as possible to avoid interruptions and keep your providers active in all networks needed.
The time differs depending on the payer, but in most cases, it ranges between 60 to 120 days. Pro- active support of our team with regard to documentations, applications, and subsequent follow-ups with the insurers cuts down on delays immensely, thereby keeping the process almost nil of skirmishes.
Credentialing requires many different documents, such as proof of education, licensure, board certification, work history, and malpractice insurance. Our team will work with you to ensure you get everything and nothing is missed, ensuring a complete application.
Our credentialing service is meant to align with your current practice management or EHR system. We will be giving you clear documentation and consistent status updates so that, without having to swap out your current system, you can easily see what has been accomplished for each provider related to their credentialing.
Credentialing directly impacts the revenue cycle. A lagging credentialing process may mean that the claim will never be submitted or would be delayed, causing an interruption in your revenue cycle. Our Credentialing Services will ensure that providers are eligible to bill insurers so you can keep cash flowing and denied claims low.
Trained Billing Staff
Our Expertise on Medical Care Billing Software
Our certified staff have hands-on expertise in billing and EMR/EHR software to complete your practices’ revenue cycle management. We also train front office and healthcare professionals to successfully use the system to develop effective progress notes and complete the clinical activity. Let us help your practice to streamline quality patient care.
