Provider Credentialing – Accucare Medical Billing LLC

Medical Credentialing Services

Get Credentialed & Enrolled. 2X Faster and Easier!

AccuCare stands as a premier Medical Credentialing Service Provider. Our Outsourced Credentialing Services alleviate administrative burdens, facilitate privileges, ensure in-network integration, and expedite reimbursements. Our Provider Credentialing Company empowers healthcare professionals to excel in their careers. Experience satisfaction through our Doctor Credentialing and Enrollment Services.

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1st Class Reimbursement

Enjoy the advantage of first-preference reimbursement rates, maximizing your financial rewards. This means you get paid more for the same services, increasing your profitability and satisfaction.

Maximum Privileges

Our streamlined approach not only wins you contracts but also secures vital privileges. You will be able to participate in innovative programs, as well as get incentives for quality performance.

Billing-Ready

You'll be prepared to bill from day one, saving you precious time. You will receive a unique provider identification number (PIN) that allows you to submit claims electronically and track them online.

Swift Reimbursement

Faster reimbursements ensure a healthy cash flow for your practice. You won't have to wait for months to receive your payments, as we process claims within 15 to 30 days on average.

Payer Support

Our advocacy ensures insurance companies stand by you, supporting your needs. We negotiate on your behalf and resolve any issues that may arise, ensuring you get paid fairly and promptly.

Minimize Denials

With our expertise, denials become a thing of the past, boosting your efficiency. We verify eligibility, obtain authorizations, and submit accurate claims, reducing errors and rejections.

Our Medical Credentialing Process

A Walkthrough of Our Specialist-Vetted Provider Credentialing Process

Accucare’s provider credentialing process is not just a routine procedure, but a validated and certified process that ensures the highest standards of compliance. We have achieved up to 98% success rate of getting providers approved in premium payer networks with maximum privileges in their specific specialties. The process typically includes the following steps:

Surveying the provider

Our credentialing process commences with an exhaustive survey led by our credentialing specialists. This entails in-depth interviews with providers, gathering crucial data like license numbers, educational history, demographics, and professional background.

Choosing the insurance company

Our medical credentialing services guide providers in strategically choosing insurance partners aligned with their practice goals and license type, while also finalizing insurance panels based on practice location.

CAQH Enrollment and Management

We take care of CAQH application submissions, manage ProView accounts, and keep credentials current for smooth primary source verification. We also assist with payer credentialing submissions, ensuring quick insurance panel integration and accurate profiles that enhance network engagement and the quality of patient care.

Ensure Fast Credentialing Approval

Although the typical timeline is 60-120 days, our provider credentialing experts take proactive steps to accelerate the process. Our team engages in weekly interactions with payers, advocating for the rapid processing and endorsement of your credentialing applications.

In-Network Enrollment

Upon completing credentialing, your application enters the contract phase. Here, an in-network contract may be offered, including fee schedules and eligible CPT billing codes. We handle closed panel challenges, advocating through appeals to secure your inclusion. With successful credentialing, direct billing becomes feasible, often with preferred reimbursement rates for in-network providers.

Winning you Hospital Privileges Application

As credentialing wraps up, our active involvement persists. We assist you in gaining all necessary hospital privileges: whether it’s admitting, courtesy, or surgical rights.

AccuCare is the nation’s top-rated revenue cycle management firm. Our clients value our exceptional claims handling, prompt responses, thorough follow-up, and outstanding management of denied claims.