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Physician Credentialing

Credentialing is critical a part of the practice management as billing and coding. Ensuring that you are on the right insurance plans and maintaining that status is important to the cash flow for your practice. The credentialing process can take months and incorrectly submitted credentials can double the time, severely having a negative impact on your practice’s cash flow.

Don’t let your cash flow be reduced. Practice Provider are experts at Credentialing.

Referrals

Your peers are more likely to refer patients to your practice if you are a participating provider in the patient’s insurance plan.

First Application, Right Application

Getting the process right the first time is important to the health of your practice. An incorrectly submitted application and result in delays that can double the time that it takes to start seeing patients with those carriers – resulting in lost revenues.

Expiration Management & Renewal

Expiration with carriers is the single biggest problem that practices encounter with cash flow issues. Don’t let a lapse in your participation happen to your practice.

Credentialing maintenance is critical to keeping your practice cash flow strong. We maintain your practice’s credentials and renewal calendar to proactively submit on a timely basis to maintain you’re your enrollment to prevent loss of revenue.

We maintain your practice’s enrollment information on file:

  • Licenses
  • DEA
  • CSC
  • CV
  • Malpractice

 

Regulatory Requirements

As regulations state and federal requirements change constantly. We stay current with these regulatory requirements to ensure that your practice maintains the proper compliance.