RCM-Revenue Cycle Management Services

Credentialing &Contracting

The Medical Billing Audit process is a good way to see the whole picture when it comes to your medical practice and its overall performance. It allows you to fix all revenue losses and contribute to better revenue cycle management. However, for medical practices, these medical billing audit templates have to be outsourced to those RCM billing companies that are fully HIPAA compliant and ensure the protection of Private Healthcare Information [PHI]. As a result, your medical practice can benefit from the audit while staying confident regarding the security of your patient’s healthcare information.

HOW WE WORK

01
DATA COLLECTION

In this, we collect all the credentials of the practice and the doctor to start the credentialing process. To start the credentialing process, it is necessary that the credentials collection should be completed and timely.

02
APPLICATION SUBMISSION

When the data collection gets completed, we start the application submission. We submit the requests to all the commercial and federal insurances within 2-3 business days.

03
TIMELY FOLLOW UP

Timely follow up is the major component to get approve a request. Our experienced team do follow up of each request with the concerned insurance company one time within 15 days.

04
ACTIVE COMMUNICATION

We have the active communications with doctors as well as with insurances. We provide all the requested information timely to provider and insurances as per request.

05
MONTHLY MEETING

We have the monthly meeting on zoom with our clients to discuss and explain the monthly reports. TYPES OF CREDENTIALING SERVICES
1) Initial Credentialing and contracting
2) Adding/Removal of a Practitioner
3) Demographic Update
4) Annual Maintenance
5) Contracts Negotiation

Types of Credentialing Services

1)Initial Credentialing and contracting
2) Adding/Removal of a Practitioner
3) Demographic Update
4) Annual Maintenance
5) Contracts Negotiation

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