MedSole RCM assists healthcare providers in getting enrolled with insurance networks. We manage credentialing paperwork, maintain deadlines, and keep providers updated.
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Credentialing is the process of verifying a healthcare professional’s qualifications to provide services. The process utilizes an established series of guidelines to ensure that patients receive the highest level of care from healthcare professionals. MedSole RCM is providing credentialing services approximately to all specialties in all states of the USA. The credentialing process begins with healthcare professionals submitting their applications. This involves providing detailed information about their education, training, work experience, and any certifications they may hold. The application serves as the initial step in assessing the qualifications and background of the applicant. We offer customized credentialing services that are suitable for the providers. We are ensuring a hassle-free credentialing process. Credentialing is basically a time-consuming process, requiring regular follow ups and we are here to reduce burden from your shoulder.
The first step of Credentialing process is to collect the documents from healthcare providers to check for which insurances the providers are eligible for. The documents may include Certification, Licenses, work history, Logins, NPI, Identity verification and others.
The accuracy in documents results in faster credentialing process; no delays, no rejections. The experts in MedSole RCM can have thorough verification of documents before submitting them to the insurance panel to avoid interruptions. Our team can manage the profile of providers on portals for faster claim processing.
After careful review of all your documents, there is the next step of submission of documents to the insurance panel, which is critical. Appropriate submission of documents is necessary for faster approvals and enrollment.
Submission of documents is not the only task, regular and timely follow-ups with payers is very crucial to track the application status. If any discrepancy occurs, our team will respond immediately and we are responsible to give you the updates on your application at least twice a month.
Here is the final stage of credentialing process, getting the contracts in hand, allowing the billing for reimbursements. If necessary, we will negotiate on the reimbursement rates with payers. Our team assists you to get contracts on time so you can process your practice’s billing without any delay.
The process will not stop after getting the contracts from the insurance panel. The regular checking, monitoring of expiration dates of documents is way more important. We have an automated system for checking the expiration dates, and our team will update you in case of any new requirement by the payer to remain compliant.
Expertise you can rely on
MedSole RCM ensures that your practice’s credentialing is always up-to-date so you can deliver the best patient care. By choosing us for your credentialing process, you will have:
