Provider Enrollment &
Medical Credentialing Services
Outsource credentialing services to Medicotechllc Medical Credentialing Specialist. We ensure timely enrollment with your desired payers, giving you quick access to their patient base.
Our credentialing coordinators with 10+ years of industry experience simplify the complex provider enrollment and credentialing process, whether you’re a nurse, doctor, or own a group practice or hospital. Medicotechllc credentialing services are available nationwide and cover all specialties.
Medical Insurance Credentialing Services We Offer
Medicaid & Medicare Credentialing Services
Get enrolled with government insurance plans such as Medicare and Medicaid to provide your healthcare services to eligible beneficiaries and successfully submit claims for treatments. Additionally, Medicotechllc offers enrollment support for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) service providers under Medicare.
Commercial & Private Payer Credentialing Services
Enrolling in commercial insurance plans like Cigna, Aetna, Humana, Blue Cross Blue Shield, and CVS Health can significantly increase revenue. Provider enrollment can take weeks to months before you can begin treating patients. Avoid delays caused by misinformation, documentation issues, and licensing problems by hiring Medicotechllc as your credentialing partner.
What Is Credentialing & The Process Followed By Medicotechllc?
Credentialing is the process of verifying the qualifications of healthcare providers, such as their education, training, licensure, and professional experience. It ensures that providers meet the required standards and comply with regulations. This process helps healthcare organizations ensure patient safety and maintain high-quality care.
Gathering Provider Information
Medicotechllc collects necessary documentation, including licenses, certifications, work history, and insurance details.
Verification
Experts verify provider credentials with state and national licensing boards, educational institutions, and professional organizations.
Submission
Verified credentials are submitted to insurance payers (e.g., Medicare, Medicaid, private insurers) for network approval.
Approval & Contracting
After approval, the provider signs a contract with the payer and gets enrolled to begin submitting medical billing claims.
Gathering Provider Information
Medicotechllc collects necessary documentation, including licenses, certifications, work history, and insurance details.
Verification
Experts verify provider credentials with state and national licensing boards, educational institutions, and professional organizations.
Submission
Verified credentials are submitted to insurance payers (e.g., Medicare, Medicaid, private insurers) for network approval.
Approval & Contracting
After approval, the provider signs a contract with the payer and gets enrolled to begin submitting medical billing claims.
Insurance/Healthcare Credentialing Services Medicotechllc Offers
NPI Type 1 & Type 2
For providers, sending HIPAA-compliant bills and claims electronically is streamlined by using a National Provider Identifier (NPI). We handle credentialing for both NPI Type 1, for individual providers, and NPI Type 2, for organizations.
State Licensing
Each state has its own laws and regulations regarding credentialing requirements. Keeping these guidelines in mind, we deliver our Medical Credentialing Services.
CAQH Credentialing
Having an up-to-date Council for Affordable Quality Healthcare (CAQH) credentialing profile is beneficial for all providers. At Medicotechllc, we ensure our clients stay informed and ahead of these requirements.
U.S. DEA Certification
We facilitate the renewal processes and applications for a Federal Drug Enforcement Administration (DEA) certificate, which is a must for all practicing providers who prescribe and handle controlled substances.
PECOS Enrollment
Our certified credentialing specialists manage the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) portal for you, making your practice hassle-free and ensuring you receive timely updates.
CLIA Certification
Our healthcare credentialing services help you comply with federal quality standards under the Clinical Laboratory Improvement Amendments (CLIA). We handle the registration and updates for you.
NCQA Accreditation
Medicotechllc provider credentialing team uses NCQA guidelines to verify providers’ qualifications, ensure compliance with regulatory standards, streamline processes, enhance reputation, and facilitate smoother payer relations.
Contract Negotiation
Helping healthcare providers negotiate credentialing contracts with insurance companies to secure the best possible pays for the services they will render to insured patients.
Credentialing To Reduce Your Stress & Improve Focus
Credentialing is a major pain point for healthcare providers if not handled with precision and timeliness. But Medicotechllc isn’t like other medical credentialing companies. We take care of everything. Our credentialing experts have simplified the complex healthcare credentialing process into easy-to-follow steps, allowing you to track exactly how your information and documents are being used.
Additionally, we keep a close eye on your credentialing renewals, which are required every two to three years depending on the payer, state regulations, and your specialty or changes in practice. With Medicotechllc, you have full control over the credentialing process, and it gets done faster than ever.
We Provide Credentialing Services For
Physicians
Hospitals
Clinics
Nurse Practitioners
Healthcare Administrators/
Managers
Medical Equipment Suppliers
Urgent Care Providers/Urgent Care Facilities
Pharmacists
Physical, Occupational, & Speech Therapists
Labs, Ambulatory Surgical Centers (ASCs), & Imaging Facilities
Telemedicine Credentialing
Audiologists
Dentists
Physician Assistants
Benefits Of Outsource Credentialing Services
Many providers believe that credentialing is their responsibility alone, which can make it difficult for them to focus on what’s most important, patient care. But that’s a myth we’re here to debunk today. You can outsource credentialing services to a third-party company (Medicotechllc) to manage the entire process for you. This ensures compliance and prevents costly errors. Credentialing involves verifying a wide range of primary-source documents, including medical licenses, education, certifications, and more, with complete accuracy. We have the resources needed to save you valuable time and ensure everything is in order.
- Accelerate Revenue
- Save Time
- Competitive Credentialing Cost
- Accuracy
- Expert Credentialing Specialist Team
Revalidation/Re-Credentialing Services
Providers across the U.S. lose significant revenue due to delays in credentialing and re-credentialing. The average loss for a single provider can be over $100,000 for a delay of just a few months. If you are a provider facing this challenge, whether you need credentialing for government/commercial payers or hospital enrollment, Medicotechllc will guide you through the process, step by step carefully managing the latest regulations. We keep our systems updated and set reminders for all your re-credentialing, as this is an ongoing process, not a one-time event.
24/7 Support
There is a significant communication gap among medical providers and credentialing specialists, often due to lack of clarity, delayed responses, and insufficient follow-up. This is not an issue when working with Medicotechllc. Our experts, who have clear and fluent communication skills, use effective channels to ensure quick submissions, easy follow-ups, and accurate information gathering and verification.
Medicotechllc Dedicated Manager
Gain access to your own personal point of contact, a dedicated professional who understands your needs and delivers exactly what you demand. This personalized support minimizes credentialing denials and allows you to discuss your customized requirements, helping you get into your desired/premium networks.
Hospital Privileges
With our credentialing services, you’ll gain access to top hospital facilities, expand your practice, and enhance patient care. We streamline the application and verification process, ensuring compliance with all hospital standards. Increase your professional reputation and treatment capabilities with ease.
Medical Supply Program
At Medicotechllc, we offer expert credentialing services for medical equipment suppliers, ensuring they meet all regulatory requirements to work with healthcare providers. We streamline the process for DME suppliers, ensuring timely enrollment with insurance companies and facilities while maintaining full compliance with industry standards.
How Do I Get Started?
Give us a call at +1 727 353 2939 or fill out the contact form, and we’ll get in touch with you as quickly as possible. From there, we can discuss your needs and how we can deliver the best solutions. Credentialing in medical billing is crucial, without it, a provider can’t bill. So, it’s important to act quickly!
FAQ’s
How Can I Track My Progress?
You can track your progress with our credentialing services through regular updates and reports provided by our dedicated team. We ensure transparency by offering detailed status reports and timelines for every step of the process. Additionally, our client portal allows you to monitor the progress in real-time.
What is credentialing in medical billing?
Credentialing in medical billing is the process of verifying a healthcare provider’s qualifications, licensure, and professional background. It ensures the provider meets the requirements to bill insurance companies and receive reimbursement for services. This process helps maintain compliance and prevents billing errors.
Types of credentialing in healthcare?
Credentialing in healthcare includes:
- Provider Credentialing: Verifying qualifications of healthcare professionals.
- Facility Credentialing: Ensuring healthcare facilities meet regulatory standards.
- Payer Credentialing: Verifying providers with insurance companies for reimbursement.
- Hospital Privileges Credentialing: Authorizing providers to practice in specific hospitals.
- Pharmacy Credentialing: Verifying pharmacies for participation in insurance networks.
Medicotechll has experience with all these types of credentialing. Feel free to contact us and discuss with our experts.
How long does credentialing take?
Credentialing time varies by insurance company, typically taking 60 to 120 days. Delays may arise due to incomplete applications, background checks, or system backlogs.
What documents are required for credentialing?
Choosing the best credentialing services is crucial for every provider. To ensure you’re making the right choice, consider factors like their experience, compliance with regulations, fast processing times, continuous support, use of advanced technology, and capability to manage multiple providers.
How? You can check online reviews, search their reputation across various platforms, or directly contact them for more details.
How to choose the best credentialing services?
All the documents mentioned below need to be updated and readily available to streamline the credentialing process.
- Medical license
- Board certification
- DEA registration
- NPI number
- Malpractice insurance certificate
- CV / resume
- Government-issued ID
- Medical school diploma
- Residency / fellowship certificates
- Continuing medical education (CME) records
- Work history and references
- Background check and criminal history report
- Immunization records
- Hospital privileges
There may be additional documents required, as each insurance provider has its own requirements.
Get in Touch With Us
See our contact page for more information
Head Office
7901 4TH ST N STE 300
St. Petersburg, FL 33702
Email Us
info@medicotechllc.com
Call Us
+1 813 393 9744