Contracting & Credentialing

contracting and credentialing

Proper Contracting & Credentialing (physician, provider, source verification and facility) will help you avoid Medicare and Insurance surprises.

Surprisingly few practices handle contracting and credentialing well and most are not properly licensed.  Credentialing is a job best left to an expert and when done properly will assure reimbursement by Medicare and Insurance carriers.  Failure to be properly credentialed can result in denial of payment for services rendered.

In the credentialing process we have the opportunity to review your contract agreements. While getting increases in payments is sometimes extremely difficult, demanding an increase can sometimes prevent reductions in payments.

We provide full service credentialing for the Physician, Provider, Source Verification, & Facility:

• Hospital Privileging, Initial Applications, Re-credentialing or
  Temporary Privileges  
• Health Plan Provider Enrollment 
• Government Enrollments, Medicare, Medicaid
• Medical Billing 
• License Renewals 
• Credentialing Consulting 
• Contract Reimbursement Negotiations / Renegotiation