Credentialing and Enrollment
We take responsibility for all aspects of the revenue cycle, from front-end registration to back-end collections
Credentialing and Enrollment
Credentialing and enrollment are critical steps in ensuring that healthcare providers can participate in payer networks and receive reimbursement for their services. Our experienced team handles all aspects of the credentialing and enrollment process, including:Credentialing and enrollment are critical steps in ensuring that healthcare providers can participate in payer networks and receive reimbursement for their services. Our experienced team handles all aspects of the credentialing and enrollment process, including:
- Key Services
- Application preparation and submission for CMS
- Credentialing file maintenance
- CAQH (Council for Affordable Quality Healthcare) profile management
- Payer contract negotiations
- Network participation agreements
- Provider enrollment and re-enrollment
- Benefits
- Faster time-to-market for new providers
- Reduced administrative burden for your staff
- Improved network participation rates
- Minimized the risk of credentialing issues
- Enhanced provider satisfaction
Complete Credentialing and Enrollment: A Holistic Approach to Revenue Cycle Optimization
Navigating the complexities of payer networks can be time-consuming and challenging. Our credentialing and enrollment services ensure you have the necessary contracts in place to maximize reimbursement opportunities.
Application Preparation and Submission
We expertly prepare and submit all necessary applications to payers, ensuring all required documentation is complete and accurate.
Payer Contract Negotiation
We assist with payer contract negotiations, ensuring you secure favorable terms and maximize reimbursement rates.
Provider Enrollment and Re-enrollment
We handle all aspects of provider enrollment and re-enrollment, ensuring a smooth and timely process.
CAQH Profile Management
We maintain and update your CAQH profiles, ensuring your information is always current and accurate.
Network Participation Agreements
We ensure you have the necessary network participation agreements in place with all relevant payers.
Benefits of Our Credentialing and Enrollment Services
Faster Time-to-Market
We expedite the credentialing process, allowing you to start seeing patients and generating revenue more quickly.
Maximized Network Participation
We ensure you have access to a wide range of payer networks, expanding your patient base and increasing your revenue potential.
Reduced Administrative Burden
We free up your staff from the time-consuming task of managing the credentialing process.
Minimized Risk of Disruptions
We proactively monitor your network participation status and address any potential disruptions.
See why MedBill is the best.
High Reimbursement Rate
- 95% success rate on first submissions
- 95% success rate for prior authorizations & pre-certifications
Fast Turnaround Times
- Less than 5% accounts receivable outstanding for over 90 days
- Denial management within 24 hours
- Rejection handling within 24 hours
- Claim submission within 24 hours of receiving them
- 12-day average Medicare turnaround
- 7-day average Medicaid turnaround
- 15-day average commercial turnaround
Excellent Customer Support
- Dedicated account manager
- 24/7 phone and live chat support
MedBill Pro stands out for its exceptional performance and unwavering commitment to client success. With a 95% success rate on first submissions and prior authorizations, they ensure your claims are processed efficiently and accurately. Their rapid turnaround times, including 24-hour denial management and rejection handling, minimize delays and maximize reimbursement. Coupled with a dedicated account manager and 24/7 support, MedBill Pro provides the comprehensive and responsive service you need to streamline your revenue cycle and focus on patient care.
Reduce Administrative Costs by up to 45%
Experience a significant boost to your bottom line with our proven strategies. By slashing administrative costs by up to 45%, you can unlock new levels of efficiency and profitability. This translates to reduced overhead, improved cash flow, and the ability to invest in growth and innovation within your practice
Experience the MedBill Pro Difference – Contact us Today
Comprehensive Support
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Get your billing right, anytime! Our 24/7 DEDICATED BILLING SPECIALISTS are always on, ready to boost your revenue. No breaks, no delays, just non-stop billing support for your RCM needs. Ready for hassle-free billing? Hit us up now and see how we keep your cash flow healthy.