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Credentialing

Staying on top of physician and provider credentialing are the most important tasks to keep cash flowing for new, changing, and growing practices. Proper medical credentialing eliminates many of the cash flow pitfalls seen in changing practices.

Practice Management provides Complete Credentialing Services for physician billing service clients, including all payer, physician group, and hospital credentialing. We also handle CAQH and NPI applications and updates. The Practice Management credentialing team maintains contact and tracks the progress of every enrollment through completion. We keep a record of every credentialing document and communication so you can focus on your growing organization! A few of the credentialing services we offer include:

Credentialing Services

  • Medicare enrollment and revalidation
  • Medicaid credentialing
  • Blue Cross and Blue Shield
  • Commercial Payers
  • Workers Compensation Payers
  • Durable Medical Equipment
  • Hospital applications
  • Physician organizations
  • CAQH Credentialing
  • NPI Registry
  • Panel analysis

Enrollment Applications or Updates

  • Medicare full application and revalidation
  • Medicare address change
  • Non-Medicare full application
  • Non-Medicare address change
  • CAQH Full
  • CAQH Update
  • Obtain NPI
  • EFT
  • ERAs – Simple additions or changes
  • Medicare 855b
  • Medicare 855i
  • Medicare all forms
  • Address Change – All Plans

Practice Management credentialing services are available to current billing clients or as standalone credentialing packages for multiple providers. Services are not offered for individual providers.

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