Practice/Provider Credentialing

Most of the billing companies just enrollment the providers and even didn’t take care the complete plans enrollments under each insurance and hospital affiliations. We are here to provide Medicare, Medicaid, Dual, Marketplace and IPA plans enrollment. 

Here is the list of enrollment services that we are providing to each practice. 

  • Enrollment all insurances carriers of your choice.
  • Medicare enrollment (PECOS) and state specific Medicaid for all 50 states.
  • CAQH registration and completions, update every month
  • Malpractice carrier application processing.
  • Type 1 and 2 NPI applications approval and setup
  • Follow up with all insurance carriers until application approval.
  • Resolution of all credentialing related billing services.
  • Keep track of all applications and run the report with provider office every week.
  • Hospital privileges of any hospital according to provider’s specialty
  • EFT/ACH setup of all providers with all payers within a month
  • ERA’s setup with your billing software.
  • Hospital affiliation with any desired hospital on provider’s demand

• Your satisfaction in enrollment and balance claims processing is our priority.

Why Choos Us

Receiving appropriate payment for medical services rendered is a challenge for today’s healthcare providers. With higher numbers of self-pay patients and the increasing complexities of legislative mandates, your practice is at a greater risk for repeated denials, revenue shortfalls, and compliance issues. Without dedicated specialists to help manage the process and work with physicians to ensure accurate documentation, maintaining and growing a healthy, profitable practice can be a significant challenge. Accurate, thorough medical coding is simply a must-have for modern, successful healthcare practices

MedCost Advangate

• Expert, certified coders that are specialty-specific and dedicated to your account
• Proprietary workflow management system that supports the coding process and tracks every record, code, and status
• A multi-faceted rules engine that supports compliance and accurate code assignment
• Automated charge entry designed to eliminate manual processes and errors

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ICD-10 & 11 ready

HIPPAA compliant

Easy to adopt.

Accurate

Designated point of contact

Increase Cash flow.

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Years of experience

Complete Medical Billing Solution