Provider Enrollment &
Medical Credentialing Services
What’s holding you back from taking your revenue cycle to the next level? Is it medical billing and credentialing services? If so, you’re at the right place.
Medical Insurance Credentialing Services We Offer
Government Insurance Programs
With our services, you will be able to submit and process insurance claims for recipients enrolled in the Medicare and Medicaid program. A plus point here is, we provide enrollment support for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) service providers under Medicare.
Commercial Insurance Credentialing
Enrollment into commercial insurance companies like Cigna, Aetna, Humana, and CVS Health can bring a significant addition to revenue. Provider enrollment can take weeks to months before you begin treating their patients. So, avoid delays caused by misinformation, documentation, and licensing.
Our Medical Credentialing Services Includes
State Licensing
Each state has its own laws and regulations regarding the credentialing requirements. Keeping all these guidelines in mind, we deliver our Medical Credentialing Services.
US 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.
CLIA Registration
Our healthcare credentialing serviceshelp you comply with federal quality standards under the Clinical Laboratory Improvement Amendments (CLIA). We register and update for you.
CAQH Profile Maintenance
Having an always updated Council for Affordable Quality Healthcare (CAQH) profile is beneficial for all providers, and at medico tech we ensure our clients stay ahead and informed.
NPI Registration
It’s easier for providers to send HIPAA compliant bills and claims electronically using a National Provider Identifier (NPI) Type 1 (individual provider) or Type 2 (organization). We handle both.
PECOS Database
Our credentialing specialist manages the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) portal for you, making your practice hassle free.
Proactive Support & Follow Ups
We provide ongoing support to the provider and conduct regular follow ups to ensure that the application is received and approved.
Expert Team
We have been providing medical billing and credentialing services for over a decade, delivering proficient, consistent, and reliable results across the USA with our qualified experienced team.Time Efficient:
In the medical field, every second is critical and directly impacts patient outcomes and care quality. So, let us handle the credentialing as it’s a time taking process while you focus on your patients.
Get An Experts Opinion Right Now
Connect for a consultation and discover tailored solutions to meet your billing/credential needs.
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FAQ’s
What is credentialing in healthcare?
Credentialing is the most important part for a provider, as it is the process of verifying a provider’s qualifications, including education, training, licenses, certifications, and work history. It also involves primary source verification, background checks, and compliance with regulatory requirements, playing a key role in provider enrollment, hospital privileges, and participation in insurance networks, with the sole purpose of ensuring high quality care delivery for patients.
How long does credentialing take?
The time for credentialing depends on which insurance company the provider is filling out the application for. Sometimes, it takes 60 to 90 days, and sometimes it even takes 120 days. Delays may occur in the process due to incomplete applications, background checks, or provider credentialing system backlogs.
What documents are required for credentialing?
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.
How to choose the best credentialing services?
The question arises in every provider’s mind: there are a number of things you can check to ensure you are getting the best credentialing services. You should consider their experience, compliance, fast processing, continuous support, use of efficient technology, and ability to handle multiple providers.
How? You can check reviews, search the internet, visit their profiles on different platforms, or give them a call.
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
+1 727 353 2939
7901 4TH ST N STE 300 St. Petersburg, FL 33702
