Wave goodbye to credentialing specialist inaccuracies and revenue loss. Keep your business and cash flow moving smoothly.
The first step in collecting revenue growth is provider credentialing. However, it might also be the most significant impediment to both. Your providers will be unable to take payments from the government or commercial insurance companies unless the credentialing procedure is completed correctly and on time. Medmax’s medical credentialing service provides you with a team of professionals who are solely committed to credentialing and enrollment, experts whose expertise and experience remove these hurdles for medical practices, organizations, and health systems. Medmax credentialing specialist oversee the whole process, working directly with payors and following up with primary sources giving you more time to provide patient care and develop your practice. Our experts alleviate staff administrative constraints for first-time credentialing, as well as the continual drain on staff time to keep records up to date across all contractual payers. We leave no stone behind and give regular updates to ensure you are aware of the actual status of your application.
Credentialing for physicians or providers is of dire significance, and to understand the diverse requirements of major commercial payers, whose networks are constantly increasing and merging, as well as the ever-changing Medicare and Medicaid criteria. This is a skill that few office administrative workers possess. or undisturbed time to properly and effectively perform applications.
But Medmax has credentialing services that use up-to-date technology and expertise to automate and simplify most of medical credentialing process, keeping it accurate and fast.
Whether you have to enroll new payers or you are switching from one physician group to another, we got you covered all over.
Provider credentialing is the process of supplying and verifying a healthcare provider’s qualifications to an insurance carrier (payer) for the provider to be registered in their system and receive payment. Credentialing in healthcare is solely concerned with facilitating income, which is only important to payments from insurance companies.
The administrative burden of chasing paperwork, contacting and waiting on third parties to supply documentation, and administering a multiplicity of carrier portals to keep credentialing and enrollment current is eliminated for all sizes of healthcare institutions. This is time that would be better spent on patient care, practice expansion, and other tasks.
In addition, outsourcing credentialing to Medmax gives the assurance of avoiding the fear of a last-minute enrollment and the revenue loss associated with a missed re-registration. credentialing specialists at Medmax will monitor when re-enrollment is due and begin the procedure at the appropriate time.
The only acceptable response is “it depends.” Work starts immediately on the Medmax side, but the total time from submission to approval depends on how quickly insurance carriers, such as Medicare and Medicaid, handle their end of the process. Due to this, it is crucial to adhere to deadlines and utilize the experienced credentialing specialists at Medmax.
Medmax’s provider credentialing specialist services are incredibly inexpensive and priced competitively. The cost is determined by a per-provider rate that also considers the number of insurance carriers with which a provider is engaged. Or, depending on the needs of your practice, credentialing services might be combined into a fee for revenue cycle management.
Medical billing and coding specialists play a crucial role in the healthcare industry. They are
CPT codes, or Current Procedural Terminology codes, are very important in the medical billing process.