Provider Credentialing Services

Provider Credentialing services @dollar 59

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7 key steps of Credentialing Process

Medical Billing & Coding Hub-Best Medical Credentialing Services For Private Practices/Solo Providers/New Setup/ New Practice

We are the Top rated professional Medical billing company working in California to ensure an effective workflow with end-to-end Revenue Cycle Management which fulfil the needs of the Provider due to our technology base trusted solutions.

Medical Billing & Coding Hub Medical Billing Company offer over 40 Medical Billing Specialties to all Physicians/solo Provider/Practice owner. The proven track record of efficient billing solutions which lead to timely reimbursements make us one of the #1 Medical Billing Company in USA. From independent practices to hospitals, we offer customized billing solutions

Medical Practices Who Can Use Our Services

Our Expertise

Our multiple years of experience which we have gained from working for world-class Cardiology facilities and healthcare will help you with improving your revenue cycle. We discover the potholes in your billing process and suggest effective ways to fill them so that your journey towards successful healthcare practice and increased revenue is smooth. We do the needful for you so that you may shift your entire focus to patient care and perform administrative tasks.  

Physician Credentialing Process Flow

Primary Source Verification: Medical Billing & Coding Hub is among the top accredited physician credentialing companies that perform a primary source verification for the individual medical in-network provider to verify whether he acquired a valid license, certification, or registration to practice a profession as it is a primary requirement of health insurance companies.

Document Verification: Medical Billing & Coding Hub document verification process involves the next level of accuracy verification after the primary source verification, where the programs like Modio and Ready Doc are utilized to automate the credentialing process, including cross-referencing resume and application information with AMA profiles, medical schools, the OIG, and more..

Data entry :Although the digital revolution has accelerated the use of electronic medical records the complexities regarding medical data entry require healthcare providers to acquire data entry services. In this context, Medical Billing & Coding Hub is always available to take a look at your patient’s records that are needed to enter, organized, maintained, archive, and retrieved whether you are an entire hospital, outpatient facility, multi or a solo practitioner. Based on the scope of your requirements our concerned workforce utilizes innovative technologies to deliver you the best output.

Data Scrubbing: After successfully submitting our initial application, payers verify our healthcare providers’ documentation, i.e., Active License, DEA, PLI, NPI, Taxonomy, etc. If all documents are up to date and additional information is not required, apps are sent to the next enrollment phase.

Credentialing: Once the Data Scrubbing is completed through online portals (i.e., CAQH, Availity, PECOS, Optum, ePaces, etc.) or Mailed/Faxed documents, the provider/group can successfully be credentialed in the insurance system/directory.

Enrollment & participation:After getting credentialed with the payer, they proceed with our enrollment request to consider our provider/group as an In-Network or Participating Provider. Upon acceptance of this enrollment application, payers send us a formal contract & fee schedule to sign; in this way, our provider becomes a contracting & PAR provider.

Re-certification:Medical Billing & Coding Hub provides re-credentialing additionally in its medical credentialing services, ensuring the credentials provided by the medical practitioner are accurate and reviewing them regularly for additional verification.

Outsource Credentialing Services to Medical Billing & Coding Hub Services

Our physician credentialing experts have developed and maintained strong relationships with third party payers to allow for quick contract resolution. Our persistent tenacity ensures that you application is processed within a reasonable amount of time. We take all the paperwork and hassle out of your hands! Most importantly, do not assume that all of these carriers and/or networks are going “back date” your participation. Most DO NOT! Call Outsource Management Group and we will assist you with your planning. We have discount price packaging available

Medical Billing & Coding Hub Healthcare Services promises to offer the best credentialing services, focusing on almost every medical billing or patient cycle aspect. We work to ensure the most available timely compensation for our patients. The quicker the invoice can be prepared, the faster and simpler the compensation is provided. With this in mind, we're running 24x7, and we've committed billers and billing experts to work while you sleep.

Medical Billing & Coding Hub customer can get

Up to

Increase in Revenue
0 %
Net Collection Rate
0 %
Days in AR
< 0
Hour Claim Turnaround
0

Reduce your administrative burden with our experts

Well trained and always stays updated about the recent changes in the Cardiology specialty.

Successful in processing medical claims with both commercial insurance companies and federal payers like Medicaid and Medicare.

Expert in eliminating any risk of losses, reducing costs and helping you achieve improved clinical & operational efficiency.

Benefits of Choosing Medical Billing & Coding Hub:

By Outsourcing you can get 700% cost effective

Credentialing Companies vs Medical Billing & Coding Hub

Brackets of Collections Other Companies Outsource to Medical Billing & Coding Hub
Credentialing Services( Federal payers) Each Payer 300$ 150$
Commercial Payer 200$ 100$
EFT setup 100$ No Charges
ERA 100$ No Charges
Portal setup/availity 100$ No Charges
Re Credentialing 100$ No Charges

GET YOUR FREE REVENUE CYCLE MANAGEMENT ASSESSMENT

Evaluate your Practice Performance

We offers free revenue cycle assessments (RCAs) to help large and small practices to work smarter, not harder. Are you performing to your full potential?

Frequently Asked Questions

Outsourcing your revenue cycle management services to Medical Billing & Coding Hub Healthcare Services gives you access to various benefits. Some of the key reasons to choose us as your outsourcing partner is that we have a HIPAA compliant proven process for high performing revenue cycles, we use state-of-the-art software and technologies, and available 24/7 to deal with your queries while ensuring quick turnaround time, and many more. With us, you get affordable and tailored RCM services.

Our RCM services are affordable, but we work with you to understand your specific needs and then tailor the program offering a fair estimate. The cost for our service varies based on the number of patients you serve, insurance providers you deal with and the city you are doing business in. This all affects the flow of revenue.

Yes, we analyze and track all the rejected claims that cause a problem for your practice. Our expert billers armed with analytic tools will show you the reason for denials and rejections as well as instruct your staff on how to avoid them in the future.

Healthcare revenue cycle ROI can be measured on both cost savings from increased efficiencies and increased business opportunity. Our RCM services help reduce bad debt, increase cash flow, and improve your bottom line. Additionally, a comprehensively managed approach toward RCM will guarantee the highest degree of patient satisfaction, retention, and new patient referral.

Yes, your data is 100% secure with us both physically and electronically. Some of the measures we employ are sign non-disclosure & confidentiality agreements, communication devices or electronic gadgets are strictly prohibited in our premises, hard copy print outs are discouraged, and security & compliance audits are conducted quarterly.