Credentialing services involve verifying and assessing healthcare providers’ qualifications, certifications, education, training, and professional backgrounds to ensure that the data meets the standards required by insurance companies, hospitals, and regulatory organizations.
These services enable providers to participate in insurance networks and deliver reimbursable care. Access Healthcare offers comprehensive provider credentialing and enrollment services to help healthcare providers navigate the complex process of getting credentialed with payers.
The Importance of Provider Credentialing
Provider credentialing is a critical step in the revenue cycle. It enables patients to use their insurance cards to pay for medical services and allows providers to get reimbursed for the services provided.
Challenges of Provider Credentialing
The process of getting a provider credentialed with a payer involves too many manual steps, such as:
- Completing application forms
- Providing clarifications to questions from payers
- Following up with them to close the credentialing request
Benefits of Access Healthcare’s Provider Credentialing Services
Elevate Your Credentialing Process with Cutting-Edge Technology and Expertise with Medical Billing and Coding Hub provider credentialing services enable you to:
- Keep your data up-to-date with payers
- Process faster payments from insurance and get more patient referrals
- Mitigate revenue leakage
- Avoid piles of paperwork and filling out application forms
- Reduce denials and identify provider trends
- Build relationships with different payers
- Receive real-time status of credentialing and enrollment transactions
Medical Billing and Coding Hub Credentialing Process
Our provider credentialing process involves the following steps:
1. Application Evaluation: Completing required documentation and identifying exceptions.
2. Primary Source Documentation: Verify practitioner/facility information from primary sources.
3. Outbound Call Center: Obtain missing documents and update the payer’s database.
4. Follow-up with Payers: Follow up on submitted credentialing requests.
5. Data Entry: Capture data, label, and link images to specific providers/facilities in the payer’s database.
6. Maintenance of Provider Data: Update provider information as per policies and procedures, and CAHQ profile.
Medical Billing and Coding HUB Provider Physician Enrollment Services- Credentialing Application $59
Our provider enrollment services enable practices to get enrolled for the services they provide by ensuring that payers have the data they need to process claims for the services you provide. Our services include:
- Verification of provider information
- Updating the practice’s Pay-to-address
- Physician Enrollment for electronic transactions (EDI, ERA, EFT, and CSI)
- Monitoring process
Reach us out
Contact Medical Billing and Coding Hub and get medical billing and credentialing services for your practice. Visit our website medicalbillingcodinghub.com to learn more about Access Healthcare’s Provider Credentialing and Physician Enrollment services. Our affordable and reliable credentialing services will meet your needs. Streamline your practice and focus on patient care while we handle the rest for you!
