Credentialing & Enrollment Services
Receive Payments Sooner
Credentialing and Enrollment Service is a key tool for avoiding late claim submissions, exceeding filing limits, wasting time, and losing money. Our knowledgeable staff oversees the credentialing process and assists you with provider registration and credentialing. Hurricane Management is knowledgeable with insurance coverage. We can assist you in joining an insurance carrier’s network, allowing you to provide outstanding service to the company’s insured patients. Our specialized healthcare credentialing services will help you get compensated faster.
Improve Performance
You may have a team of expert physicians with the necessary qualifications and licenses, but without enrollment, you may face the risk of financial difficulties. You must complete primary source verification to enroll with payers, switch practice, or add new physicians to existing groups in order to improve the performance of your practice. You must outsource provider enrollment services to specialists like us if you don’t have the knowledge to handle the physician credentialing procedure.
An annoying distraction
Physicians and other healthcare providers, such as a hospital, counseling offices, a chiropractor, a dentist, physical therapists, an occupational therapists, an optometrist’s offices, an urgent care centers, a treatment centers, and others, must go through a rigorous credentialing procedure in order to bill an
insurance company as an in-network provider. Medical credentialing can be an annoying distraction from providing high-quality patient care, but it doesn’t have to be. That’s something we’ll take care of for you!
Expert Assistance is Crucial
Our Credentialing & Enrollment teams are dedicated to offering cost-effective solutions to insurance enrollment, contract negotiations, Medicare/Medicaid enrollment, and physician credentialing challenges. New provider credentialing, CAQH credentialing, hospital credentialing, contracting, and enrollment maintenance services are just a few of the things we can assist you with. Insurance enrollment may be a difficult task, and if done incorrectly, it can have a significant impact on a practice’s cash flow. This is why having expert assistance is imperative.
Our Medical Credentialing Services include:
- Credentialing specializing in all the states
- Data gathering & CAQH Enrollment
- Application submission & Payer communication
- Medicare revalidations and Yearly maintenance
- Re-Credentialing and Demographic updates
Credentialing and Re-credentialing
Credentialing services for new providers and practices. Add additional providers/locations to health plans for existing practices.
Dedicated Team
As required by health care providers, a team completes the credentialing data and submits it to commercial insurances, Medicare, and Medicaid.
Compliance
Our Credentialing Services guarantee that the National Committee for Quality Assurance (NCQA) and the Department of Health and Family Services regulations are followed (DHFS).
Essential Follow-Ups
Our medical billing and credentialing services guarantee that all follow-ups are performed effectively, resulting in a seamless enrollment process.
Portal Registrations
Creation, maintenance and updating of CAQH & PECOS credentialing portals
Data Integrity & Contracting Issues
We use audits to address contracting issues and secure data integrity.
Credentialing and Enrollment Services enable you to
- Keep your data up to date with payers
- Process insurance payments more swiftly and get more patient referrals.
- Minimize revenue leakage.
- Filling out application papers and dealing with extra paperwork are tasks you can avoid.
- Minimize denials and identify provider trends.
- Minimize denials and identify provider trends.
- Get real-time updates on the status of your credentialing and enrollment transactions.
Did you know?
Medical credentialing services typically entail obtaining information about a physician's background and credentials through a formal application that is validated against reputable sources such as the National Practitioner Data Bank and the American Board of Medical Specialties.
Since over 15 years, the Coalition for Affordable Quality Healthcare has offered a standardized credentialing program, which has been adopted by the majority of payers in the United States.
Physicians are typically required to answer 800 questions when approached by a hospital, HMO, or employer. Items such as licensing and practice history from the last five years are included in the information.
Why US?
- Countless hours of administrative work can be saved.
- Get rid of the stress of mounds of paperwork and never-ending applications.
- Obtain insurance provider payments that are quicker and more efficient.
- Contracts and applications that are submitted correctly the first time around.
- We don't rest until the process is completely finished.
- Every step of the journey, your experienced and dedicated credentialing manager is at your side.
- Frequent status reports will keep you updated about where you stand with each payor.
- All phone calls, follow-ups, and chasers are handled, and all applications, e-mails, and faxes would be sent by us.
- Support is available at all times 24/7.
- An outsourced enrolling, contracting, or credentialing staff is typically less expensive than an in- house team.