Helping Your Business Go Further, Faster
Insurance Eligibility and Verification
Submitting Claims & Working Rejections
Full-Service Medical Billing
Account Receivable & Collections
Provider Credentialing and Contracting is a vital process by which medical organizations verify the credentials of healthcare providers to ensure they have the required licenses, certifications, and skills to properly care for patients in their scope.
What is the difference between Provider Credentialing versus Provider Enrollment?
Credentialing is the process of verifying the licensing, education, and training of the provider. Enrollment is the process of applying to and requesting participation with insurance companies. This is also essential if you are a brand-new healthcare business. It is required that you follow CMS requirements and state law.
Healthcare Compliance is a continuous process of abiding by legal, ethical, and professional standards that apply to healthcare organizations. As Certified Professional Compliance Officers, CPCO; we have the education of the key requirements that are necessary to effectively develop, implement, and monitor a healthcare compliance program for your practice based on governmental regulatory guidelines. This includes internal compliance reviews, audits, risk assessments, and educating and training your staff.
Looking for Something Else?
Our diverse background working with practices of varying specialties allows us to quickly adapt to new and changing fields. If you're looking for something specific, contact us with any questions you may have regarding the services and solutions we offer and can provide.