Physician Credentialing
The credentialing process can be daunting, but it’s vital for ensuring that your providers are approved by payers, allowing you to start seeing patients and getting reimbursed. At MediCloud Billing Solution (MBS), we simplify and streamline the provider credentialing process to ensure your practice can onboard new providers and expand services without unnecessary delays.
Why Credentialing Is Crucial for Your Practice’s Success?
Without proper credentialing, your providers can’t be reimbursed for their services. Our credentialing service ensures your practice is compliant with payer requirements, Medicare/Medicaid standards, and state-specific regulations. We handle everything from submitting enrollment forms to following up with payers, so you can focus on what you do best — caring for patients.
Payer Contract Renegotiations MBS Credentialing Services Include:
- Initial Credentialing: We handle all paperwork, including CAQH profile management and payer applications.
- Re-Credentialing: We track your providers’ credentials and ensure timely renewals to prevent service disruptions.
- Payer Enrollment: We ensure that your providers are enrolled with Medicare, Medicaid, and commercial insurers.
- Privileging & Revalidation: We manage the re-credentialing process for hospital privileges, ensuring no interruptions in care.
Why Partner with MBS for Credentialing?
- Speed: We cut down the time it takes to get your providers credentialed, ensuring quicker payments.
- Accuracy: We ensure that all information is submitted correctly, reducing the risk of delays or denials.
- Expertise: Our team knows the ins and outs of payer requirements, allowing for smoother enrollment processes.
Let MBS handle your credentialing needs so your providers can start seeing patients and generating revenue without unnecessary delays.
Credentialing
- State licensing and facility accreditation support
- Medicare and Medicaid provider enrollment management
- Commercial insurance enrollment and network participation
- Enrollment for physician and non-physician providers
- Re-credentialing, revalidations, and CAQH maintenance
- Payer communication and status follow-ups
- Contract negotiation for enhanced reimbursement rates