Benefits of Choosing Physicians Revenue for

Medical Credentialing Services

Minimized Risks, Skyrocketed Revenue

Say goodbye to the insurance follow-up headache and lessened revenue. With our top-tier credentialing expertise, you’ll always stay ahead of the curve, ensuring maximum profitability and peace of mind.

Round o’ Clock Availability

Stay informed about medical credentialing updates anytime, anywhere, as per your convenience. Physicians Revenue provides 24/7 access to all your documents and real-time application updates.

Quick and Hassle-free Payment Receiving

Faster and hassle-free cash receiving is assured with our medical credentialing services. Choosing our streamlined services means saying goodbye to payment-receiving hassles.

Drive Patient Growth: Turbocharge your practice

By simplifying the credentialing process, we boost patient referrals and expand your clientele. Experience practice success and effortlessly attract new patients. It’s that simple with the streamlined credentialing services from Physicians Revenue.

Empowering Quality Assurance

Our dedicated teams prioritize preventing credentialing application rejections, ensuring seamless processing every time. We maintain the highest accuracy and efficiency standards with audits and continuous improvement, minimizing delays and optimizing provider enrolment.

Unparalleled Support

With meticulous attention to detail, we guarantee accuracy and efficiency, paving the way for smoother operations and greater provider satisfaction. Our proactive problem-solving approach ensures timely resolution of any issues, enhancing trust and reliability in our services.

Medical Credentialing

Services We Offer

Medicare and Medicaid Provider Enrollment

Experts at Physicians Revenue assist healthcare providers in enrolling with Medicare and Medicaid, assuring the fact that they can provide needed services to eligible beneficiaries under these government programs.

CAQH Registration & Enrollment

We take the hassle out of registering and maintaining your Council for Affordable Quality Healthcare (CAQH) profile, simplifying the provider data collection process for participating health plans.

Provider Credentialing

Elevate your practice with our provider credentialing services. From verifying medical qualifications to securing in-network status, we streamline the process for seamless patient care. Our expertise ensures you’re aligned with the most utilized insurance plans in your region, enhancing accessibility and practice growth.

Revalidation & Recredentialing

We specialize in streamlining the revalidation and re-credentialing process for healthcare providers, guaranteeing ongoing compliance with regulatory standards and securing their active status with payers. With our tailored solutions, maintaining your credentials becomes a seamless experience.

DEA certificate and Renewal

From initial application to seamless renewal, our services handle every aspect of Drug Enforcement Administration (DEA) certificate processes. We ensure healthcare providers have the necessary authorization to prescribe and manage controlled substances essential to their specialty.

CILA Registration

Our expert guidance takes healthcare providers on a smooth journey through the Clinical Laboratory Improvement Amendments (CLIA) registration process. By ensuring compliance with rigorous federal quality standards for laboratory testing, we empower providers to deliver top-notch diagnostic services to their patients.

Telemedicine Credentialing

Our service entails a meticulous assessment of a provider’s education, training, licensure, certifications, and professional background. By leveraging our expertise, organizations can confidently verify that practitioners meet the essential standards required to deliver exceptional care.

Insurance Contract Negotiation

Partner with our skilled team for unrivaled support in negotiating contracts with insurance payers. We specialize in securing advantageous terms and conditions for providers, and optimizing reimbursement rates while alleviating administrative burdens. With our expertise by your side, unlock new levels of financial success and operational efficiency in your practice.

Individual & Group Medicare Enrollment

Whether as an individual practitioner or a group, our services streamline the complex process of Medicare enrollment. From initial application to ongoing support, we ensure seamless access to this vital healthcare program, empowering you to focus on delivering exceptional care to your patients.

Commercial Insurance Credentialing

Let our team be your guide through the intricate landscape of credentialing with commercial insurance companies. We specialize in easing the process, ensuring seamless network participation and timely reimbursement for your invaluable services. Trust us to navigate the complexities so you can focus on what truly matters – providing quality care.

Medical License Application Processing & Renewals

Physicians Revenue expedites medical license applications and renewals, ensuring healthcare providers can focus on what they do best – caring for patients. With our seamless process, get peace of mind, knowing your credentials are always up-to-date and ready for practice.

Reimbursement Issues Auditing

Dive deep into your reimbursement processes with our meticulous audits, uncovering and resolving any barriers that may be hindering your revenue flow. Our tailored solutions optimize reimbursement rates and mitigate potential revenue losses, ensuring your practice thrives financially. Say hello to a healthier bottom line and goodbye to revenue worries with our expert guidance.

Privileges for Hospitals

Our dedicated team specializes in facilitating the acquisition of hospital privileges for healthcare providers. By securing these privileges, practitioners can seamlessly admit and treat patients at affiliated hospitals, expanding their scope of practice and enhancing patient care capabilities. Partner with us to unlock new opportunities for growth and excellence in healthcare delivery.

Our Approach To

Medical Credentialing Process

A stepwise and methodical credentialing process done by our experts assure the successful completion of the task. Here’s the stepwise process we go after.

Meaningful Collaboration

The medical provider credentialing process involves collaboration among the healthcare provider, organization, and payer.

Document Attachment

We complete detailed applications, attaching necessary documents such as board certification and college degrees.

Thorough Review

Then our experts review applications and add supplemental materials like claims history and background screening results.

Documents Submission

Completed applications and supporting documents are then submitted to the payer for review.

Proper Evaluation

Payers evaluate applications based on various factors, including education, residency, recommendations, and malpractice history.

What Makes Us the #1 Choice for Medical Credentialing?

Streamlined Practice Management

With one monthly fee, experience the ease of managing your entire practice seamlessly. From CAQH attestations to re-credentialing for all insurances, including Medicare and Medicaid. Our medical credentialing services ensure your administrative tasks run like clockwork, freeing you to focus on patient care and boosting your revenue potential.

Highly Secure Cloud-Based Solutions

Advanced Data Protection: Our cutting-edge cloud-based system safeguards all your professional information, providing unparalleled security while enabling automated reporting. Rest assured knowing your data is protected, allowing you to navigate your practice with confidence and peace of mind.

Proactive Credentialing Support

Our comprehensive service extends beyond initial credentialing. We proactively monitor expirations and facilitate re-credentialing, ensuring your practice remains compliant and operational without interruptions. With us, keeping ahead of expirations and re-credentialing is seamlessly integrated into our service, safeguarding your revenue stream.

Personalized Service Excellence

While Physicians Revenue has expanded to meet evolving client needs, our commitment to personalized service remains unwavering. Experience the hallmark of our business as we cater to your unique requirements, providing attentive support and guidance every step of the way.

Long-Term Peace of Mind

With just one call to us, alleviate your worries for years to come. Our holistic approach to medical credentialing and practice management ensures long-term stability and success, empowering physicians to maximize revenue potential while navigating the complexities of healthcare administration effortlessly.

Reason Number Six: Revenue Optimization Partner

Beyond simplifying administrative tasks, we serve as your trusted revenue optimization partner. Our expert team identifies opportunities to enhance reimbursement rates, streamline billing processes, and maximize revenue streams. With our comprehensive support, you can confidently focus on patient care while we work tirelessly to boost your practice’s financial health.

FAQS on

Medical Credentialing Services

Any healthcare provider or institution seeking to bill insurance companies as an in-network provider must undergo medical credentialing. This includes physicians, hospitals, dentists, therapists, chiropractors, and more.

Simply, reach out to us! We’ll gather your details and discuss which insurance companies align with your practice location and licensure. Then, we handle the retrieval, completion, submission, and follow-up of your applications on your behalf. We collaborate closely with you, ensuring transparency and promptly addressing any queries.

Credentialing with insurance companies allows medical professionals to offer services to patients covered by those specific insurers. It streamlines the billing process, enabling direct billing of patients’ claims and expanding the pool of potential patients who can access your services.

After initial credentialing, insurance companies require periodic re-credentialing to verify the accuracy and currency of provider information in their systems. Commercial payers mandate re-credentialing every three years, while Medicare and Medi-Cal require it every five years. MD Services Medical Credentialing offers re-credentialing services to prevent lapses in your credentials.

Other Services

We Offer

Medical Billing

Unlock the potential of your practice with our cutting-edge medical billing solutions. We tailor our services to seamlessly integrate into your workflow, simplifying invoicing processes and ensuring maximum accuracy in reimbursement. With our meticulous approach, you can focus on patient care while we optimize your revenue stream to new heights.

Claims Management

Navigate the complexities of claims management effortlessly with our expert guidance. From submission to approval, we masterfully handle each step, minimizing bottlenecks and maximizing revenue streams. Trust us to streamline your operations for unparalleled financial success and peace of mind.

Revenue Cycle Optimization

Elevate your revenue cycle to unprecedented levels with our comprehensive suite of strategies. Our holistic tactics fortify financial well-being and ensure steadfast stability for your organization’s prosperity. Experience the transformative impact of optimized revenue management with our dedicated support.

Accounts Receivable Solutions

Stay on top of your accounts receivable effortlessly with our vigilant monitoring and proactive management. We track receivables and take prompt action when needed, maintaining financial health with unparalleled efficiency. With us by your side, you can rest assured that your revenue stream remains robust and resilient.

Medical Coding Services

Unlock the power of accurate medical coding with our specialized services. Our expert coders ensure compliance with regulatory standards and optimize coding practices to maximize reimbursements. From assigning appropriate codes to facilitating clean claims, we streamline the coding process, enhancing revenue potential and minimizing audit risks.

Consultative Support

Embark on a personalized journey with our expert consultations, tailored to your unique needs. We offer specialized guidance to navigate the complex world of medical billing, ensuring you receive personalized support every step of the way. Let us be your trusted partner as you navigate the intricacies of revenue management, unlocking new levels of success together.

Compliance Confidence

Stay ahead of the curve with our unwavering commitment to compliance assurance. We uphold the highest standards of ethical conduct and compliant billing practices, ensuring adherence to healthcare regulations and industry benchmarks. With us, you can trust that your integrity is safeguarded while we navigate the ever-evolving landscape of healthcare billing with precision and confidence.

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