Physician Credentialing Services
You could have a team of professional physicians who possess the right qualification and license but without enrollment, you could invite risk of payment hurdles. To enhance the performance of your practice you must complete primary source verification to - enroll with payers, switch practice, or add new physicians to existing groups. If you lack the know-how to navigate the physician credentialing process, you need to outsource provider enrollment services to professionals like us.
Flatworld Solutions is a provider of enrollment and credentialing services with a firm grasp of payer's guidelines. We can help you get enrolled with insurance carrier's network so that you can provide quality service to patients who are covered by the carrier. Our tailored healthcare credentialing services will help you get reimbursed faster.
Physician Credentialing Services We Offer
Prevent revenue disruption by choosing Flatworld's physician credentialing solution because we collaborate with nearly any practice providers to source detailed information and speed up enrollment with insurance carriers at fraction of the cost. Our professionals are adept at guidelines followed by many leading Medicare, Medicaid, and commercial insurance payers. We offer high-quality physician credentialing services that will help with the following -
- Form preparation based on insurer guidelines
- Provider enrollment formalities and credentialing
- Tracking CLIA, CAQH, DEAs, NPI, and MA registration, as well as expiration of NYS registration
- Re-credentialing support
- Form and document submission for faster approval
- Record and certificate verification
- Aggregation of document and certification details coupled with the preparation of application forms
Physician Credentialing Process We Follow
It is our motto to handle healthcare back-office functions in a way that gives you the best visibility of the process, so you can track and measure the progress at every stage. We implement the services as follows -
Managing letter of interest from the provider and application requests from payer's end
We handle group credentialing and affiliation from new providers
We assist in facility credentialing that includes adding providers to facility's ID
We support by handling practice management application for dental and DME payers along with CMS 855
We handle forms submissions for all insurance carriers
We collaborate with insurers to maintain and update the directory of affiliated providers
We follow-up with enrollment challenges and managed healthcare undertakings
We prepare contracts for scanning and storing of documents electronically on a long-term basis
We comprehensively handle managed healthcare summaries that include fee schedule, effective dates, and group enrollment data
We keep a tab on DEA's, CLIA, and NYS registration expiry dates, as well as reapplication
We also manage re-credentialing
Why Choose FWS' Physician Credentialing Services?
Flatworld Solutions is a world-class provider of physician credentialing service. If you can't keep up with the complex regulatory compliances and are contemplating hiring an in-house team, you could save your revenue by outsourcing physician credentialing services to us. Being deeply involved in solving administrative challenges across healthcare we have reached the apex of this industry by being a reliable and trustworthy physician credentialing partner. Our services will spare you from umpteen troubles that can result in financial losses and litigation. Here are some reasons why we get approached to outsource physician credentialing services -
We are a business that satisfies your credentialing needs because we have the skill, knowledge, and expertise to recognize your needs ahead of the service. Our competent staff follow ISO and CPCS certified practices that put our services a notch above the rest while being duly HIPAA compliant
Trusting and working with us is easy. You need not harbor concerns about your confidential data ending up in wrong hands. With a routinely monitored network, we manage your data, documents, and files in a secure way so that it aggrandizes your practice
High Accuracy and Quality Service
Our enrollment services are executed by meeting industry benchmarks. We ensure that physicians are affiliated with the insurance company's network and possess relevant practice qualifications for becoming eligible for payer's reimbursement. The application process is periodically evaluated to ensure adherence to insurance carrier's terms
Fast services are liked by most clients because it saves time and money. The physician credentialing services we offer is custom made for growing your client volume and achieving payments 35% faster
Our physician credentialing services are designed to adapt and evolve when the need to scale arises. When your patient footfall grows, it becomes imperative to have a speedier system that is fully compliant with the standards
Pocket-friendly Pricing Options
Whether you want comprehensive or customized physician credentialing service we have the solution that is ideal for your budget. With a flexibly priced service, you can achieve profitable results without spending a fortune
When you need to get in touch with us you will not have to face multiple barriers because you can straightaway interact with a dedicated professional who will respond to your query on tap. Our subject matter specialists will be available at your local time zone to serve you in a quick and efficient manner
Back-office Support Services Software
We use the most advanced physician credentialing software to eliminate risks that can lead to loss of thousands of dollars as compensation to patients. The use of proprietary software can improve the efficiency and productivity while lowering days sales outstanding (DSO). Credentialing software used by FWS facilitates super user controls across multiple platforms creating a secure environment to integrate with other programs for customized healthcare needs
Experienced Team of Certified Credentialing Professionals
We are a physician credentialing company with 200+ professionals who are experienced in credentialing services. We offer complete assistance in maintaining compliance, developing credentialing process, and maintaining practitioner database
Flatworld has the latest infrastructure that enables our provider enrollment and credentialing services team to harness the full potential of the credentialing software. Backed by our advanced physical and technology infrastructure you can easily navigate through challenging healthcare and insurance carrier compliances
Secure Data Exchange
Being a technology driven company we offer a secure FTP and VPN that lets you share files and documents related to project in a secure way
We are reachable by phone, email, and online chats at your local time zone on a 24x7x365 basis. We are never too far when you need to reach us
Client Success Stories
FWS Processed Over 3000 Encounters Related to Rehabilitation Care for a Group of Physicians from Indianapolis
Read a case study to know how our expertise and experience in an array of healthcare BPO service resulted in the on-time completion of the task leading to a 20% increase in savings.
FWS Provided Accounts Receivable Service to a Top Healthcare Organization
Flatworld was approached by a EDI team which wanted a good data analysis to save time & money. Before sending claims to insurer we performed inventory analysis to share plan with clients for approval.
Outsource Physician Credentialing Services to FWS - Leader in Medical Business Process
Your team has been incredibly quick to respond to any concerns. I've had few issues and they were always dealt with kindly and promptly. The latest request I had was to make sure the turnaround time was optimized, and I've already noted a significant improvement.MD,
Pharmacy Company in Canada More Testimonials »
Being a strong player in the competitive healthcare industry for 19 years we, at Flatworld Solutions, have made a name in healthcare BPO services. Our back-office support is engineered to bring maximum revenue without affecting the performance of your practice. Be it hospital, private practice, or even a clinic, we have customized and budget-friendly solutions that are created to provide a comprehensive physician enrollment service. By choosing us you can give your cash-flow a boost that will propel your practice ahead of those who insource physician credentialing. We also offer other top services such as medical billing & coding, medical transcription, healthcare claims adjudication, and pharmacy business services.
Get in touch with us so you can get customized physician credentialing service at affordable cost.
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Physician Credentialing Services FAQs
What is credentialing for physicians?
The credentialing is a process of establishing the legitimacy of practicing physicians by running background checks on their latest board certifications, admission privileges, and work history, etc.
How long does it take to credential a physician?
Express credentialing takes anywhere between 60-120 days if all submitted information is accurate and errorless. It can be delayed by 190-220 days if there are gaps and delinquencies.