Credentialing Services That Align
Medical billing and coding can be a complex and timeconsuming task, but with our professional services,
you can streamline the process and enhance the financial success of your practice. Our team of
specialists will handle all of your medical billing and coding responsibilities, ensuring that you’re paid
precisely and promptly for the services you offer. Contact us now to learn more.
What is Credentialing and Why Does it Matter?
Credentialing is the process of evaluating and confirming a healthcare provider’s skills and experience. This includes doctors, nurses, and other medical professionals. Many healthcare providers and insurance companies stipulate this process as necessary for patient protection and service excellence.
Enrollment and credentialing are essential for establishing a practice that provides the highest level of patient care and insurance reimbursement. The enrollment and credentialing processes allow states and insurance companies to identify which medical practitioners meet their requirements. It is necessary for insurance reimbursement and to ensure your patients receive high-quality care from qualified providers.
At Medical billing arts, we understand the importance of credentialing and work hard to give our clients the most reliable service possible. Our team of professionals has worked in the field for years and can help you from the beginning to the end of the credentialing process.
Don’t waste time or money on credentialing and enrollment when you can outsource it for a quick turnaround and a high return on investment.
What Does Medical billing arts Offer?
At Medical billing arts, we offer a range of credentialing services, including:
Initial
Credentialing
Re
Credentialing
Credentialing
Verification
Provider
Enrollment
We collaborate with various healthcare organizations and insurance providers to ensure that our clients
receive the finest possible service. Our team will provide guidance, advice, and resources throughout the
process, ensuring that you are well-prepared and knowledgeable in all areas of the certification process.
We will also be available to answer any questions or provide assistance should you need it.
What Does Medical billing arts Offer?
Every day at Medical billing arts , we are immersed in this world. We have the skills and knowledge to swiftly guide you or your providers through the system and assist you in maintaining your status once enrolled. We understand how to fill out each payor’s numerous paperwork, whom to contact if an issue arises, and how to ensure your continued success. We deal with a wide range of payor organizations, including commercial carriers.
Medical billing arts offers enrolment and credentialing services to clients (across the full spectrum of specialties) and ensures their satisfaction by doing the enrolment and credentialing process per the credentialing standards and guidelines implemented by the National Committee for Quality Assurance (NCQA). Our highly skilled team members will handle major provider enrollment and credentialing.
The Importance of Credentialing.
Credentialing is essential in ensuring healthcare services' quality and safety. The National Committee for Quality Assurance (NCQA) says that medical errors and patient harm are less likely to happen when a healthcare provider has the right credentials. In addition, credentialing provides patients and their families peace of mind by ensuring that healthcare providers are certified and skilled in their specialty.
Requirements for Credentialing.
Credentialing requirements vary from state to state, county, and population—even between medical facilities and insurance carriers. The major credentialing requirements include education and training, Hospital affiliation, State license(s), DEA license, Provider enrollment application, Board certification, Malpractice insurance certificate, Sanctions disclosure, Criminal background disclosure, Background Screening, Military service, and IRS- Letter.
The departments for Verification are:
- The National Practitioner Data Bank (NPDB).
- American Association of Nurse Practitioners (AANP) / American Nurses Credentialing Center (ANCC), and
- American Board of Medical Specialties (ABMS)
- National Student Clearing House.
At Medical billing arts, we stay up-to-date on the latest requirements and can help you navigate the process from start to finish.
CAQH Credentialing
CAQH, or the Council for Affordable Quality Healthcare, makes it easier for healthcare providers to get credentialed to accept health insurance, saving time and money. It also helps to ensure that providers meet the necessary standards and have the appropriate certifications. Medical billing arts is experienced with the CAQH credentialing procedure and can assist you with navigating the requirements and ensuring a swift and efficient process.
Our credentialing team is highly experienced and can provide you with a comprehensive understanding of the requirements and regulations necessary to maintain compliant credentialing and secure insurance reimbursements. We can also help you develop a comprehensive credentialing plan that meets your specific needs and goals.
As a professional credentialing service located in Colorado, Nevada, we offer physicians a comprehensive range of services. Our services cover all major commercial insurance providers, including Aetna, Anthem, BCBS, CIGNA, Tricare, Humana, UnitedHealthcare, and more. We also assist with enrolling and revalidating for Medicare and Medicaid, CAQH registration, NPI registration, and resolving issues related to reimbursements and managed care contracts. Our experienced team is ready to help you navigate the requirements and ensure a quick and efficient process. Contact us today to learn more about how we can assist with your credentialing needs.
Frequently Asked Questions
Medical billing is collecting and processing claims for different types of healthcare services. It involves tracking patient information such as insurance coverage, deductible amounts, and other details about a patient’s medical history to ensure that all patients receive appropriate care.
We have been in business for over 10 years.
Our team is composed of highly trained and certified medical billing and coding experts with years of experience in the industry.
We offer various medical billing services, including billing, coding, and collections. We also offer specialized services such as Credentialing, Denial Management, Account Receivable, and Virtual Medical Scribes
Our services can help your practice maximize revenue, increase your bottom line, and make your life easier. We work closely with you to ensure that your billing and coding are accurate and up-to-date, and we take the time to understand your unique needs and develop a customized solution that works for you.
Keeping up with the constantly changing regulations and medical billing requirements can be time-consuming and overwhelming, especially for small practices. Outsourcing your billing to a professional service can save you time and money and ensure that your claims are processed accurately and efficiently.
Contact US
Simplify your medical billing process with Medical billing arts LLC. Contact us today for top-notch billing services that save you time and money. Contact us today to schedule an appointment and see how we can help streamline your billing process. Whether you prefer email, phone, or our easy-to-use contact form, we’re here to make your life easier. So why wait? Reach out to Medical billing arts LLC and start seeing results!
- +1 303 586 1631
- info@medicalbillingarts.com
- 9436 W.Lake Mead Blvd Ste 5 PMB 1034 Colorado, NV 89134