Credentialing and Enrollment
Your Partner in Optimizing Healthcare Performance
Revenue Cycle Analysis
MedBill RCM offers comprehensive credentialing and enrollment services to healthcare providers, ensuring seamless participation with payers and optimal reimbursement. Our expert team handles the entire credentialing and enrollment process, from primary source verification to contract negotiation, allowing you to focus on patient care while we manage the administrative tasks.
Service Highlights
Application Submissions
Once we have all the required documentation, we prepare and submit the required applications to the payer organizations.
CAQH Enrollment
CAQH (Council for Affordable Quality Healthcare) application submission for providers tocredential with individual payers.
Contract Management
We negotiate favorable contracts with payers, ensuring optimal reimbursement rates and terms, and manage renewals and updates.
Payer Communication
Manage payer communications, verifications, and follow-up activities and related tasks.
Data Gathering and Verification
Manage payer communications, verifications, and follow-up activities and related tasks.
Hospital Privileges Application
Once we have all the required documentation, we prepare and submit the required applications to the payer organizations.