Simplifying the Credentialing Process
Credentialing is a time-consuming and complex process that requires meticulous attention to detail. Our expert team handles every aspect of provider credentialing, ensuring that your practice remains compliant with all regulatory requirements and payer guidelines. Our services include:
- Provider Enrollment & Re-credentialing: We manage the enrollment process for new providers and ensure timely re-credentialing to prevent disruptions in reimbursement.
- CAQH Profile Management: We set up and maintain provider profiles in the CAQH system to streamline credentialing with insurance networks.
- Primary Source Verification: We verify provider credentials, including education, licenses, certifications, and malpractice history, to ensure compliance with industry standards.
- NPI Registration & Updates: Assistance with obtaining and updating National Provider Identifiers (NPI) to keep provider records accurate.
Comprehensive Payer Contracting Services
Accredited Billing & Consulting’s specialists ensure you receive the best possible agreements tailored to your practice’s financial goals when negotiating and managing contracts with insurance companies. Our contracting services include:
- Negotiating Favorable Reimbursement Rates: We leverage industry expertise to negotiate competitive payment rates that maximize your revenue.
- Payer Contract Evaluation: We analyze existing contracts to identify areas for improvement and ensure that your practice is getting the best possible terms.
- Fee Schedule Analysis & Optimization: We review and optimize fee schedules to ensure that your services are adequately compensated.
- Medicare & Medicaid Enrollment: We assist in enrolling providers with government payers to expand patient access and improve revenue streams.
- Ongoing Compliance & Contract Management: We continuously monitor payer policies, contract renewals, and compliance updates to ensure that your agreements remain favorable and up to date.
Why Choose Accredited Billing and Consulting?
Partnering with Accredited Billing and Consulting for your credentialing and contracting needs means gaining a team of experts dedicated to your success. Our services provide:
- Faster Turnaround Times: We streamline the credentialing and contracting process to minimize delays in reimbursement and patient access.
- Regulatory Compliance Assurance: Our team ensures that all credentialing and contracting activities adhere to federal, state, and payer regulations.
- Increased Revenue & Profitability: By securing optimal payer contracts and maintaining credentialing compliance, we help improve your bottom line.
- Customized Solutions: We tailor our services to meet the specific needs of your practice, whether you are a solo provider, group practice, or healthcare facility.
Get Started Today
Accredited Billing & Consulting takes the stress out of credentialing and contracting, allowing you to focus on patient care. We handle the paperwork, negotiations, and compliance so your practice can thrive.