Proficient Physician Credentialing Services
Take stress and guesswork out of credentialing to enhance compliance and ensure smooth provider enrolment with our physician credentialing services.
The in-house management of physician credentialing is often riddled with inefficiencies, inaccuracies, and delays. These obstacles can precipitate compliance disputes, endanger patient safety, and potentially compromise your institution's reputation. This is where delegating it to an experienced physician credentialing company like ours serves as a reliable resolution.
We provide robust physician credentialing services designed to alleviate these pressing issues. Our team of experts tackles the cumbersome responsibility of credentialing, ensuring precision, punctuality, and compliance at every stage. Outsourcing to us not only allows you to overcome the challenges of credentialing but also enhances your operational efficiency and patient satisfaction. Entrust us with the task of maintaining the integrity of your medical staff's credentials, while you focus on delivering unparalleled patient care.
Outsource physician insurance credentialing services to simplify complex processes and boost the overall efficacy of your practice.
Physician Consulting: Our Areas of Specialty
With a rich legacy of expertise and a deep understanding of the complexities involved in physician credentialing, we leverage state-of-the-art technology and a keen knowledge of regulatory standards to deliver exceptional results. Our team understands the importance of accurate and efficient credentialing in ensuring the quality of healthcare services and patient safety.
Explore the comprehensive array of physician and physical therapy credentialing services we offer.
Payer Enrollment Services
We manage the intricate process of enrolling physicians with insurance providers utilizing our team's in-depth knowledge of insurance guidelines. This expedites the process, from application to approval, enhancing your reimbursement rates and optimizing your revenue cycle.
Initial Credentialing Services
Our initial medical billing credentialing services involve a comprehensive collection and detailed verification of each physician's credentials, leveraging state-of-the-art technology and our team's extensive experience in healthcare regulations and data management.
Privileging Services
Our privileging services involve the systematic validation of each physician's qualifications and experience to determine the specific services they can provide within your institution. This also encompasses coordination with regulatory authorities, medical personnel, and all relevant stakeholders.
Credentialing Verification Services
Our credentialing verification services involve rigorous verification of each physician's credentials against trusted sources, using sophisticated verification systems. Our experts, proficient in regulatory standards and data verification, ensure the utmost accuracy and compliance of each credential.
Re-credentialing Services
With our re-credentialing services, we ensure the continuous competence of your medical staff by periodically verifying their credentials and tracking necessary renewals. Our expert team, equipped with advanced monitoring technology, ensures your team's qualifications remain current and compliant with all regulatory norms.
Monitoring Services
Our monitoring services involve ongoing surveillance of each physician's credentials, using advanced tracking tools and our team's expertise in regulatory compliance. We promptly identify any potential lapses, keeping your institution compliant and risk-free.
Maintenance of Provider Credentialing Files
We offer comprehensive maintenance of provider credentialing files, keeping your credentialing records updated, well-organized, and easily accessible. With secure cloud-based storage technology and our team's expertise in data management, we provide reliable access to accurate credentialing data.Our support is not confined to the above services. When you outsource credentialing services to us, we also assist you with -
CVO Credentialing, Review of Doctors' Qualifications, Preparation and Submission of Forms, Evaluation of Referrals Supplier Acceptance and Documentation
Physician Credentialing Process We Follow
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
Additional Services You Can Benefit From
Transform healthcare documentation, ensuring accuracy and timeliness with our meticulous medical transcription services.
Optimize your cash flow, reduce administrative burdens, and increase profitability with our comprehensive revenue cycle management services.
Streamline your insurance claim processes, ensuring prompt and accurate settlements with our expert claims adjudication services.
Facilitate immediate access to expert insights and improve patient outcomes with our exceptional teleradiology services.
Simplify your billing process, reduce administrative burdens, and boost revenue with our all-encompassing medical billing services.
Ensure precise coding for all medical services, enhance compliance, and reduce claim rejections with our meticulous medical coding services.
Client Success Stories
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 services resulted in the on-time completion of the task leading to a 20% increase in savings.
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FWS Provided Accounts Receivable Services to a Top Healthcare Organization
We were approached by an EDI team which wanted a good data analysis to save time & money. Before sending claims to the insurer, we performed inventory analysis to share the plan with clients for approval.
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Improve Compliance and Save Time - Outsource Physician Credentialing Services
Navigating the process of credentialing by providing comprehensive services, we have emerged as a trusted credentialing company for physicians and healthcare practices. Our support encompasses data gathering, rigorous verification, strategic privileging, and continuous monitoring. With a commitment to accuracy, timeliness, and compliance, we ensure that your medical staff consists of only qualified and licensed professionals.
Leveraging state-of-the-art technology, we provide seamless integration with your existing infrastructure, facilitating a transparent and efficient credentialing process. Our strict adherence to medical credentialing standards reduces risks and ensures your institution's compliance with all the regulatory norms. By aligning with us, you are investing in an elevated level of operational efficiency and safeguarding your reputation for excellent patient care.
Embrace a simplified and efficient approach to physician credentialing. Reach out to us today to commence a partnership built on trust and excellence.
FAQs
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Whom do we serve
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Key Differentiators
AHIMA Healthcare Convention 2016
USA
Flatworld Solutions
116 Village Blvd, Suite 200, Princeton, NJ 08540
PHILIPPINES
Aeon Towers, J.P. Laurel Avenue, Bajada, Davao 8000
KSS Building, Buhangin Road Cor Olive Street, Davao City 8000