Services for Provider Enrollment and Medical Credentialing
DO you want to begin your sales cycle optimization journey with us? After that, let's make you credentialed! Enrollment is made simple with our complete medical credentialing services, allowing you to easily join the networks of leading insurance payers. It's time to start making money!
Complete Credentialing Services for Providers
In order to assist healthcare institutions and providers in joining the payer network, we have achieved the medical credentialing workflow. After the provider-payer agreement, credentialed and in-network providers are able to collect payments on schedule and receive frequent referrals. The practice's revenue cycle is streamlined and its financial performance is improved by steady cash flow.
You cannot bill insurance companies or provide care services to insure the patients if you are not properly credentialed and have your qualifications verified. Here is an outline of our customized services:
SERVICES FOR PHYSICIANS
we cover all areas of specialty! We offer precise coding and claim submissions for anything from OB/GYN to medical emergencies and everything in between to guarantee timely reimbursement from your payer.
SERVICES FOR HOSPITAL BILLING
we reduce the administrative burden on you! We at Med eBilling are skilled at handling multiple policies. In accordance with the constantly evolving requirements, our team of experts provides precise hospital billing solutions.
SERVICES FOR MEDICAL CODING
we maximize your profits we use thorough CPT coding and reimbursement analysis to enhance the accuracy of your billing. Our professionals provide precise programming for every service as well as perceptive analysis to spot patterns and inconsistencies
SERVICES FOR POSTING PAYMENTS
we are here to understand your financial situation! You can get complete reimbursements with the help of our payment posting service. At Med eBilling, we expedite your payment posting procedure and give you an in-depth understanding of your revenue cycle, enabling you to see solve any significant problems.
SERVICES FOR AR RECOVERY
We guarantee 100% reimbursements! By recovering your unpaid accounts receivable, Med eBilling helps your practice's financial situation. Our specialized A/R follow-up team checks the status of your claims while simultaneously making sure that your overdue balance is paid as soon as possible.
SERVICES FOR DENIAL MANAGEMENT
We get back the money you lost! To make up for your financial losses, Med eBilling uses an efficient denial management strategy. Our experts examine your denied claim, find any problems, and fix them for
Outsource your medical credentialing needs to us and discover the Med eBilling difference.
The principles of efficiency, compliance, and transparency guide our operations at MediBill MD. For centralized communication, we make use of a sophisticated project management solution. Our credentialing process is streamlined thanks to it, and our clients' information is protected from unauthorized access because to its password-protected interface.
To guarantee efficient communication during the medical credentialing and enrollment procedures, we designate an account manager to each of our esteemed clients. They are committed to enhancing customer satisfaction and are ready to offer individualized support to handle complex circumstances. Their commitment is focused on completing credentialing requests as quickly as possible.
It is costly to hire, train, and retain medical credentialing personnel. Furthermore, our clients would need to make investments in expensive equipment and additional space to staff and outfit the credentialing crew if they choose to manage this process internally. However, we take care of everything for them when they outsource medical credentialing.
Updating physician records and registering healthcare providers for the CAQH and PECOS databases are continuous activities. When clients use our expert medical credentialing services, we take care of the registration and updates to make sure that all health insurance payers can access their correct information for prompt credentialing and verification.
Account managers plan biweekly contact with customers to inform them of their credentialing status with all payers in order to maintain transparency. They keep thorough records of the status of credentialing applications and send them to clients via email upon request. Making wise decisions is helped by these updates..
Our Procedure for Medical Credentialing
Our entire medical credentialing procedure is set up to expedite your applications and reduce the time limit on processing time to less than 120 days. We keep the process from going awry and impeding your route to financial success by implementing strict checks along the way, such as information verification, regulatory compliance, and licensure evaluation.
01
Analysis of CAQH Profile Login
Following the onboarding of healthcare providers, we obtain their CAQH login credentials and check the profile for any information that is out-of-date or missing. After checking and inspecting we make the required adjustments if the profile has to be updated. However, we build a new profile on CAQH ProView if the supplier does not have a CAQH number.
02
Information and Document Gathering
In order to combine the data, we then construct an enrollment file. We store information on a shared place for medical credentialing and upload our clients' documents. To comply with the HIPAA data security requirement and assist us protect our clients' personal information, we have password-protected and end-to-end encrypted all of our files.
03
Project Management
We do make a separate project for every certification like we use our project management platform. The program serves as a cloud storage and progress tracker for information and changes during the process, and relevant tasks are added and given to the best candidates for the job.
04
Submission of an Application
We immediately begin the enrollment and medical credentialing procedure with each of the targeted insurance payers. After obtaining all necessary data and paperwork from the healthcare provider, we contact the relevant insurance company to submit an initial application to their network.
05
Follow-ups
Sending the first requests is not the end of our efforts. We are in frequent contact with the insurance payers to screen the credentialing process. Additionally, we give healthcare providers ordered updates on the status of their applications. If the payer asks for further information or documentation at this point, we immediately respond.
06
Execution of Contracts
We follow up with insurance payers after credentialing them to make sure a contract is signed and entered into their system. For suitable, 24/7 access, a copy of the completed contract remains on our project management application. If our client needs help negotiating reimbursement rates, we are happy to assist.
24/7 ASSISTANCE IN EVERY SPECIALTY
Find out the solutions to all of your questions! With all of our services, Med eBilling provides dedicated customer care 24/7. Across all specialties, our staff is qualified to cope with medical billing and associated issues.