We do the work so you don’t have to!
As a provider of professional credentialing services, we understand that physician credentialing is a critical part of the revenue cycle. We also understand how the extra time taken to focus on the process of credentialing can take away valuable revenue from your practice. So, we work with you to manage this most critical component of your practice. The revenue that your organization could be collecting by freeing up your providers to bill for services. Our approach is simple; efficient and timely credentialing equals additional revenue. If you aren’t credentialed correctly, you won’t be paid correctly, and we take seriously the data collection and management of your data to ensure an efficient and timely process so you can get to work more quickly and do what you are trained to do, help others.
Credentials Services operates national and works with many types of payer and provider organizations, we have the expertise to help you maximize every dollar possible with our expert medical credentialing services. To use our professional credentialing services, call today at 401-424-5839. On the other hand, you can fill out our contact form here today and we will give you a call within 24 hours to start you on your path to increased revenue. Read the information below to learn more about the physician credentialing services provided by our team.
OUR COMPREHENSIVE SOLUTIONS
Whether you work as a solo practitioner or large group practice, our deep experience working with credentialing departments across the United States ensures that you will receive the best credentialing solution for your organization.
- End to end credentialing, expirables management and re-credentialing solutions for all third party insurance, governmental, and CAQH payers.
- Expirables management solutions to maintain all time-sensitive credentials.
- Re-credentialing solutions for all third party insurance, governmental, and CAQH payers
- Primary Source Verification (PSV).
- Quality assurance teams focused on preventing credentialing application rejections.
- Experienced account managers to manage every aspect of the credentialing process.
- Assessments to identify improvement opportunities.
For more information or to start the process today call 401-424-5839 or fill out our simple contact form here and we will get back to you within 24 hours.
RE-CREDENTIALING SERVICES (FOR EXISTING PROVIDERS) Conduct all re-credentialing services based on insurance plan requirements. 100% quality assurance. Application and signature page consolidation and management. Use of UPS, FedEx and/or certified mail to track and trend mailed applications. Dedicated application follow-up to ensure that are payers are actively processing your applications.
SPECIAL PROJECTS
Medicare re-validation services. Group contract creation and enrollment. TIN consolidation and enrollment. Payer website analysis to ensure that your payers correctly list your provider data on their websites.
EXPIRABLES MANAGEMENT SERVICES
- Pro-actively monitor document expiration (e.g., license, DEA registration, board certification).
- Conduct all ongoing CAQH re-attestations.
- Expiring document report analysis to ensure advance notice that a document is soon to expire.
- Respond to provider enrollment billing issues/edits.
DELEGATED CREDENTIALING MANAGEMENT
- Manage delegated credentialing rosters for all delegated payers.
- Manage weekly/monthly roster submissions.
We have been working with Credentials Services for over 2 years now and they have helped us to grow from a two man office to a medium sized practice, with over fifteen practitioners. They are efficient, knowledgeable and believe strongly in Customer service. We will continue to work with them as we grow our practice into the future.
Rhode Island Counseling Assoicates LLC