Faster & Easier
Best Physician Credentialing Services
Eliminate administrative burdens and unlock privileges, ensuring in-network integration, and accelerating reimbursements. Doctor Management Service (DoctorMGT) best physician credentialing services in California has empowered doctors and medical practices to thrive. Ready for a seamless experience? Book Your Free Consultation Now!
Extensive Features of Medical Credentialing Services
Designed to make the difficult insurance credentialing services easier for healthcare providers to handle, our medical credentialing services include a number of advantages. Some of our salient characteristics are:
- Tailored Solutions
- Support for Healthcare Providers
- Position You in a top-tier network
- Cutting-Edge Technology
- Compliance
- Aggressive Follow-up
Insurance Credentialing Services
Overcome Credentialing Hurdles | Secure Your Doctor's Network Access
Expert Credentialing Services for Providers in the USA
DoctorMGT specializes in credentialing in medical billing aimed at transforming the enrollment process of healthcare practitioners. We have over a decade of experience on the grounds and have provided excellent service in managing payer access for providers.
Initially, we would identify the unique requirements and payer panels that remain relevant to your practice. It is crucial to emphasize that our team systematically gathers and checks such key documents as medical licenses, certificates, malpractice insurance, and academic background.
DoctorMGT provides a full suite of insurance credentialing services, including initial credentialing, re-credentialing, and support for locum tenens providers. We focus on streamlining credentialing services for providers and offer them swift access to insurance networks.
A Critical Component of Credentialing with Insurance
Credentialing with insurance providers is more than just getting your foot in the door. It is all about signing a contract to favor your practice; or getting paid fairly what your practice is worth. Focusing on professional services for contract negotiation, we aim to ensure you receive the most revenue possible while dealing with the lowest number of hassles.
DoctorMGT’s insurance credentialing services will meticulously review your contract, identifying potential areas for adjustments to increase your revenue. Whether it’s negotiating higher reimbursement rates, securing favorable fee schedules, or clarifying contract terms, we’ve got you covered.
Partner with Leaders
Enhance Provider Network Participation Through Credentialing in Medical Billing
DoctorMGT’s strategic approach to credentialing in medical billing ensures that your practice meets the stringent requirements of payers, leading to successful network participation. Here’s what we offer for your ease:
Medicare and Medicaid Provider Enrollment
Enrolling your practice as a Medicare and Medicaid provider involves complex rules and regulations, and it’s easy to get lost in the paperwork. DoctorMGT, as experienced medical credentialing companies, specializes in helping healthcare providers in 2x faster enrolling with Medicare and Medicaid.
Our team of experts understands the specific requirements of these programs and will guide you through every step of the process. From completing and submitting the necessary paperwork to following up with the payers, we are with you at every step.
Let us take the hassle out of Medicare and Medicaid enrollment so you can concentrate on growing your practice.
NPI Registration (Type 1 and Type 2)
For an individual provider as well as a healthcare organization, having a correct and up-to-date NPI is vital for smooth billing, claims processing, and electronic health records (EHR) exchange. Doctor Management Services’ provider credentialing services assist healthcare providers for both Type 1 (individual) and Type 2 (organizational), in getting and updating their National Provider Identifier (NPI).
An NPI is a unique 10-digit identification number assigned by the Centers for Medicare & Medicaid Services (CMS) to providers across the USA. It is essential for medical billing credentialing services, reporting, and electronic transactions.
From initial application to NPI issuance and updates, our dedicated team ensures that your practice is compliant with CMS regulations.
Commercial Insurance Credentialing
Because commercial insurance payers have different eligibility requirements and sophisticated plans, the credentialing process might take a while. Before you can begin seeing their patients, the process can take several months, so we make sure there are no more delays brought on by incomplete information.
Our experts gather and arrange all necessary paperwork, including licenses, certifications, and training records. We make sure that commercial insurance payers such as Humana, Cigna, and Aetna grant you credentialing.
Credentialing with these companies allows providers to reach more patients and negotiate better reimbursement rates. So, don’t wait- hire us for quick results.
Revalidation & Re-Credentialing
Revalidation and re-credentialing are necessary over time to guarantee ongoing adherence to regulations and payer activation. You typically have to undergo validation every five years, and re-credentialing is necessary every three.
Our provider credentialing services provide a seamless revalidation and re-credentialing process with Medicare, Medicaid, and. To prevent any delays or fines, we take the initiative to update your demographics (practice location, contact details, etc.) proactively.
Providers can continue to be eligible to participate in these programs and stay out of trouble by having DoctorMGT handle these tasks automatically.
Your Success Catalyst
24/7 Access to Online Medical Billing and Credentialing Services Platform
DEA Certificate & Renewal
As professional healthcare credentialing companies, the DEA certificate application and renewal procedures are part of our physician credentialing services. We enable medical professionals to prescribe and manage controlled medications in their areas of expertise.
CLIA Registration
The Clinical Laboratory Improvement Amendments (CLIA) require practitioners and laboratories to register before performing tests for disease diagnosis, prevention, or treatment. With our assistance providers complete the CLIA registration process for credible testing services to patients.
Hospital Privileges
We help doctors secure and renew their hospital permits. Healthcare providers who obtain hospital privileges can admit and treat patients at affiliated hospitals. This enables them to join forces with other healthcare experts and expand their medical domain.
Your Gateway to Top Payers
Want an Expert to Talk for Strategic Payer Partnerships? Contact Now!
Registrations:
We oversee the creation and ongoing updates to the CAQH and PECOS credentialing portals.
NCQA Compliance:
We assure compliance with the NCQA standards through our provider credentialing services.
Data Integrity:
We maintain data integrity & contracting issues through regular audits.
FAQ
FAQs about paid search management
The healthcare provider’s eligibility and qualification to participate in the insurance network are verified through the credentialing process. It is essential if the practitioner wants to access more patients and increase practice revenue.
Various factors, including the complexity of the provider’s credentials, the number of organizations involved in the process, and any concerns that come up throughout the verification process, might affect how long medical credentialing services takes. In general, the procedure may take a few weeks to several months.
For regular providers, it takes 2-3 months depending on the state. Fortunately, Medicare permits providers to submit claims for services rendered during the enrollment period. DMEPOS suppliers expect a longer waiting time due to stricter confirmation, including a site visit.
Certainly, providers must have a location to begin with the credentialing process. Moreover, the healthcare provider cannot register their home address as a clinic address.
Having worked in a small private group ophthalmology practice for 9 years before joining a larger multispecialty group practice, I had become accustomed to handling all the medical billing myself. I can say that DoctorMGT is one of the best medical billing services California. I appreciate how they are very professional in their communication and reporting as they update me from time to time about the financial health of my healthcare facility.
Ophthalmologist
