Are you tired of the frustrating and time-consuming process of credentialing and provider enrollment?
Don’t worry, Credentialing and Contracting, LLC is here to make it easy for you!
Let us handle the complicated rules and regulations of each payer, while you focus on giving your patients the best care possible.
Our comprehensive services include:
- Individual and group Medicare enrollment.
- Medicaid program enrollment for both groups and individuals.
- Annual credentialing maintenance.
- Re-credentialing.
- CUA-approved lab enrollment.
We Have the Tools
So say goodbye to delays that could take weeks or even months to fix, and say hello to fast and efficient solutions.
Trust us with your credentialing needs and take the hassle out of the process. We’ll get you up and running in no time.
Credentialing Process
The credentialing process can be overwhelming at times. Still, it’s essential to ensure physicians are qualified to practice medicine. It’s all about making sure patients can trust the people who are taking care of their health.
Credentialing involves gathering information about a doctor — like their education, training, certifications, and references — and then verify that everything checks out
Organizations that hire physicians must do their due diligence to verify their credentials. This is where the credentialing process comes in. Providers need to permit organizations to research their backgrounds and verify their credentials. Once that’s done, the provider fills out an application to determine their eligibility.
It’s important to note that a physician is credentialed for their specific scope of practice, which includes the procedures and equipment they’ll be using. This ensures they are qualified and capable of providing high-quality care.
Well, don’t worry—Credentialing and Contracting, LLC has your back!
We offer credentialing services to startups and established facilities for physicians, nurse practitioners, physician assistants, urgent care providers, audiologists, behavioral health providers, physical, occupational, and speech therapists, as well as labs, ASCs, and imaging facilities.
Let us help you simplify the credentialing process, making sure your providers are trained, skilled and ready to deliver premium-quality care. It’s time to focus on what you do best. Leave the rest to us!
Frequently Asked Questions: Your Answers to Credentialing and Contracting
How long does the provider enrollment process take?
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The standard credentialing process can take anywhere from 3 to 4 months, depending on each payer’s detailed guidelines and requirements. Generally, the application and approval process should take about 90 days. However, it’s important to note that provider credentialing has many complexities, and particular providers may require a longer time to become fully verified. Rest assured, we work diligently to ensure we complete the process as quickly as possible while maintaining the highest level of accuracy and attention to detail.
What is the process like when working with a Medical Credentialing Service Provider?
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When you partner with a medical credentialing service provider like Credentialing and Contracting, LLC, the process starts by reviewing your specific network needs and evaluating the top payers in your area. Then, once we have a solid plan, we’ll execute a contract for the work.
From there, we’ll begin the application process by gathering all the necessary documents from the provider and attaining a list of contacts at the insurance companies. Sometimes this is done online, and we’ll submit applications directly to the companies. After submitting the applications, we’ll confirm they’ve been received and are being processed.
When everything is finalized and the provider has been accepted into the network, we’ll inform them of the executed documents so they can submit claims. It’s a comprehensive process, but with our expertise and guidance, we’ll ensure everything is handled smoothly and efficiently.
What should I look for in a medical credentialing company when outsourcing my credentialing?
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Outsourcing your credentialing can be a great option, but choosing a company you can trust is essential. When looking for a medical credentialing company, make sure they prioritize timely responses, excellent communication, and complete transparency.
It’s also vital the company takes ownership of the process and represents you well. You want to feel confident that they understand your needs and that you’re in good hands. At Credentialing and Contracting, LLC, we take pride in providing top-notch customer service and support throughout the entire credentialing process. Our team is here to help you every step of the way and ensure that your needs are met with care and efficiency.
How does Credentialing and Contracting, LLC provide a complete physician credentialing service?
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We understand physician credentialing can be complex and time-consuming. That’s why we assign each of our clients a dedicated Credentialing Representative whom they can communicate with easily and rely on for support. In addition, our team will analyze the payers for their specific specialty and geographical location and evaluate their contracts. We want our providers to feel like we’re in their office, available whenever they need us.
Do all credentialing firms have experience credentialing all specialties?
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Of course not all credentialing firms have experience credentialing all specialties. However, at Credentialing and Contracting, LLC, we offer provider enrollment for providers across the United States in various specialties. Our team has the expertise and knowledge to handle even the most complex and specialized credentialing needs.
Do all provider enrollment companies check the same information?
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No, not all provider enrollment companies check the same information. This can depend on the agency and the provider’s background and history. Some agencies may conduct background checks, fingerprinting, and gather national provider identifier information, while others may require additional information. We pride ourselves on our comprehensive approach to credentialing, ensuring all necessary information is collected and verified.
What steps are involved in credentialing with Credentialing and Contracting, LLC?
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At Credentialing and Contracting, LLC, we have a comprehensive approach to credentialing our clients. Here are the steps involved:
- Identify Required Documents: Our team will help you gather all the necessary credentialing documents.
- Prioritize List of Insurers: We’ll work with you to prioritize your list of insurers based on your specific needs and requirements.
- Double-Check for Accurate Information: We’ll review your information for accuracy and completeness.
- Complete the CAQH: We’ll help you complete the Council for Affordable Quality Healthcare (CAQH) application.
- Get Verification: Our team will work with the payers to ensure you are verified and credentialed.
- Follow-Up to Be Sure: We’ll follow up with the payers to ensure the process moves smoothly and efficiently.
- Re-Certify Before Your Expiration Dates: We’ll help you stay on top of your credentialing expiration dates and keep you updated with all necessary re-certifications.
- Contact Us for Your Free Quote via Phone: Ready to get started? Contact us today for a free quote by phone!
With our expertise and support, we’ll help you easily navigate the credentialing process, so you can focus on what matters—providing excellent care to your patients.