- +1 (332) 330-4685
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- sales@statesmd.com
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- 167 Madison Avenue Suite 205 New York City, NY 10016,USA
Effective Medical Credentialing Services specific to Your Needs
StatesMD offers comprehensive medical credentialing services that help healthcare providers streamline the enrollment and credentialing process, avoid claim delays, and save time and resources. With our centralized approach and knowledgeable experts, providers can recognize revenue sooner and eliminate the hassle of managing paperwork and follow-ups.
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Provider Enrollment & Medical Credentialing Services
The medical credentialing application process can present numerous challenges and outcomes. Healthcare provider enrollment and credentialing are critical compliance issues for physician practices. Without proper oversight and a detailed understanding, errors or misconceptions in the credentialing process can be detrimental to your organization. StatesMD offers innovative medical credentialing services with a faster turnaround time.
Our experienced credentialing teams work closely with insurance systems, ensuring each document is processed with the required accuracy to provide clear and effective provider enrollment and credentialing services.
Credentialing is straightforward with a professional team and an efficient system. Without knowledge of standard credentialing protocols, you risk having your application rejected by the insurance company.
2X Faster Reimbursement
Benefit from top-priority reimbursement rates, maximizing your financial rewards. This means higher payments for the same services, boosting your profitability and satisfaction.
Maximum Privileges
Our streamlined approach not only helps you win contracts but also secures vital privileges. You will be able to participate in innovative programs and receive incentives for quality performance.
Payer Support
We stand by you to ensure insurance companies meet your needs, handling negotiations and resolving issues so you receive fair and timely compensation.
Minimize Denials
With our expertise, denials become a thing of the past, enhancing your efficiency. We verify eligibility, obtain authorizations, and submit accurate claims, minimizing errors and rejections.
Medical Credentialing Services We Offer
Medicare and Medicaid
Commercial Insurances'
Provider Enrollment
Credentialing Services
NPI Registration (Type I and Type II)
CAQH Registration and Maintenance
MCR DMEPOS Enrollment
Contract Negotiation
Revalidation & Re-credentialing
Reimbursement Issues Audit
Providers' State License
DEA Certificate & Renewal
Medical Credentialing Process
Credentialing and contracting are crucial for any healthcare practice. At StatesMD, we provide seamless physician credentialing and contracting services to help you expand your patient base and grow your practice. Our team of experts specializes in streamlining the enrollment process, saving you time and hassle while maximizing your revenue potential.
Involves gathering all the necessary background information for credentialing.
Enroll in CAQH by maintaining and updating your profile.
Prepare and review all documentation before submitting it to payers.
Once the Data Scrubbing is completed through online portals (i.e., CAQH, Availity, PECOS, Optum, ePaces, etc.) or Mailed/Faxed documents, the provider/group can successfully be credentialed in the insurance system/directory.
Medical Credentialing follow-up is an ongoing process that ensures healthcare providers maintain their qualifications, adhere to regulations, and continue to meet the standards of healthcare organizations.
Benefits/Outcome of Outsourcing Medical Credentialing Services to StatesMd
24/7 Access
Accelerate Payments
Maximize Revenue
Streamline Workflow
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Medical Billing Specialities
With specialty-focused billing teams skilled in ICD-10 coding rules and protocols, our medical billing services increase reimbursements. We also customize your EHR to align with the workflows of your medical specialty.
Urology Medical Billing
Cardiology Medical Billing
Urgent Care Billing
Behavioral Health Billing
Anesthesia Billing
Family Medicine Billing
EMTs & NMET Billing
Chiropractor Billing
Contact Our Credentialing Expert to Join the Payers Network
Get in touch with us promptly to schedule a free consultation and watch as your practice’s revenue collections boost right away.