Credentialing Services
Patients hate hearing the phrase, “Sorry, we can’t treat you.” Don’t lose your Medicare and other private insurer patients because you’re not credentialed with them. Let us help you get enrolled with different payers to maximize your revenue.
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Outsource Credentialing Services
- Save your time and resources for core tasks. Let us handle the lengthy credentialing procedures and reduce paperwork, allowing you to focus on patient care.
- We are a HIPAA-compliant medical billing company serving both NPI Type 1 and NPI Type 2 providers to minimize errors and reduce penalty risks.
- Our Credentialers are professionals who know what they do and do it quickly and easily, allowing the providers to follow the process alongside them.
- Outsourcing is beneficial for the practice as it reduces in-house credentialing costs, lowers salaries, and cuts training expenses.
- Adjacent to handling multiple providers/practices efficiently, delivering on time, and ensuring managed documentation.
Stop Losing Patients & Accelerate Your Revenue
5% to 10% of annual revenue is lost by healthcare practices due to delays and denials in credentialing services. Medbrillance RCM has over 5 years of experience in credentialing services. Let us handle it for you to speed up incoming revenue and improve patient satisfaction.
We Credential For
Government Insurances Medicare & Medicaid
We provide end-to-end medical credentialing services for government insurance plans, ensuring providers are eligible to treat beneficiaries.
Commercial Insurances
Get credentialed with multiple private insurers like Humana, Aetna, and Cigna through our services, ensuring timely and faster payments that help grow providers and their practices.
CAQH Maintenance & Registration
Medrilliance RCM manages the Council for Affordable Quality Healthcare (CAQH) profile, which is crucial for every provider as it helps minimize the credentialing efforts required when applying for different insurances repeatedly. It is kept updated and compliant with industry standards.
Credentialing Expert For Personalized Support
Every specialty is unique and serves its own needs. Medbrilliance RCM experts are always available to address credentialing, billing, and any other queries providers may have regarding our services. Additionally, we offer patient help desk services to help practices grow, improve the patient experience, and enhance healthcare services.
FAQ’s
What is the credentialing process and how long does it take?
Credentialing involves verifying a provider’s qualifications and submitting applications to insurers. It can take anywhere from 30 days to six months, depending on the insurer and the completeness of the documentation.
Why is it important to stay credentialed with insurance companies?
Staying credentialed ensures you are eligible for reimbursements from insurers, preventing disruptions in patient care and revenue flow. Expired or missing credentials can result in claim denials and loss of patients.
How do I handle credentialing denials?
If your credentialing is denied, we assist with identifying the cause and provide guidance on how to resolve the issue, ensuring all documentation is complete and accurate to reapply.
What are the costs of outsourcing credentialing services?
Outsourcing credentialing services can reduce in-house costs, including salaries and training. It also prevents costly delays and errors that can impact revenue and patient care.
Can you help me with credentialing for multiple insurance companies?
Yes, we handle credentialing with various commercial and government insurers, ensuring timely submissions and follow-ups to maximize your revenue and practice growth.