Provider Credentialing

Build a More Profitable and Efficient Revenue Cycle for Your Medical Practice

Med USA is a full-service RCM company delivering scalable healthcare credentialing solutions. Dedicated account managers, including a single point of contact, help complete each phase of the credentialing process accurately and without delay. Let’s discuss the difference our team can make for your practice with a free practice analysis and payer sweep (one payer).

Provider Credentialing Services

How Much Is Your Current Credentialing & Enrollment Solution Holding Your Practice Back?

An RCM customer support agent wearing a headset and working at a desk

Credentialing and enrollment are complicated and time-intensive tasks. Errors in these essential processes can be fatal to a practice. That’s where Med USA comes in. As one of the nation’s top-rated credentialing companies, we provide every customer with a dedicated account manager who oversees every step of our provider enrollment and credentialing services, leaving no room for mistakes or missed deadlines. Schedule a one-payer sweep with a Med USA credentialing expert to uncover:

  • Expired licenses and documents
  • Enrollment and privileging issues
  • Regulatory non-compliance
An RCM customer support agent wearing a headset and working at a desk
A group of RCM experts having a business meeting

Med USA:
Your Medical Credentialing Partner

A group of RCM experts having a business meeting

These requirements can be complicated, and a lack of experience or a lack of the appropriate tools and proactive monitoring, can work against your business and negatively affect reimbursement. In the beginning, these effects may be difficult to notice, but they become obvious with the appearance of claim denials and delayed or decreased payment due to out-of-network issues. Increasing government regulations, payer-specific requirements, and a general lack of industry standardization in this area all contribute to provider credentialing being difficult and time-consuming. Med USA offers both payer contracting and provider enrollment, as well as primary source verification and privileging. Our proprietary process and experienced specialists will handle every step for you to become an in-network provider and maintain the required enrollment, licensing, and privileging through our provider credentialing services.

Trust Our Proven Solutions Certified By:

HIPAA One Certified Compliant
Med USA Top Revenue Cycle Management Outsourcing Company Award, 2022
AICPA SOC
Graph icon

Data-Driven Credentialing Services for Providers

Med USA is one of the only provider credentialing companies that leverage real-time business intelligence to streamline RCM, A/R management, credentialing, enrollment, and every other process required to run a successful practice. Our highly customizable cloud-based practice analytics and business intelligence platform can help you gain visibility into credentialing workflows, increase administrative efficiency, minimize cash flow disruptions, and prevent future delays and bottlenecks.

Our Specialties

provider-credentialing-servicers

Provider Credentialing Services

  • Participating and Non-Participating Payer Sweep
  • Credentialing/Contracting Payer Enrollment
  • Entity Routine Application Follow-up and Updates
  • NPI and Payer Provider ID Numbers
  • Re-Credentialing, Re-Appointments & Renewals
image 154

Expirable Document Management Services

  • Pro-Active Monitoring and Notification of Expiring Documents as a Medical Credentialing Service (e.g., Professional License, DEA, Board Certification).
  • Notifying and maintaining up to date data and documents, including their expiration dates.
  • CAQH Re-Attestations (every 120 days).
  • Maintaining all important documents and attestations, notifying and re-issuing every 120 days.
image 155

Re-Credentialing Services

  • Managed Based on Individual Player Requirements
  • Application and Signature Page Consolidation and Management
  • Applications Sent and Tracked to Confirm Delivery and Receipt
  • Regular Application Follow-Up and Updates
  • NPI and Player Legacy Provider ID Numbers Consolidation
  • Medicare Revalidation
image 156

Customized Credentialing Solutions

Med USA supports both newly graduated physicians and more experienced ones through our personalized and customized Provider Credentialing Solutions Services. We create customized solutions that allow us to consult, supplement, or provide fully managed credentialing services for your practice. Our team is highly trained and able to step in, analyze, and provide resourceful recommendations for your practices, then complete all the required applications and documentation. Our services are available to all medical professionals, including group practices, hospital-based physicians, non-physician practitioners, and laboratories.

Some of the customized solutions we offer include:

  • Initial Hire Form and Enrollment Design
  • Provider/Group Enrollment Assessment
  • CAQH Maintenance and Updates
  • Medicare and Medicaid Enrollment
  • Out-of-State/Regional Payer Enrollment Services
  • “Change-To” Address Services
  • Facility Address Update/Change Services

New Provider Credentialing Services

One of the most frustrating aspects of credentialing new providers is the number of requests they receive from staff who are inexperienced with how the credentialing process works. Med USA has developed an efficient on-boarding and collection process through our proprietary tool to facilitate the healthcare credentialing service for new providers as quickly and painlessly as possible. Our process encompasses the collection of provider data, supporting documentation and signatory needs which gives us everything to complete applications and submit in a timely manner.

Begin the Medical Credentialing Process Early

An RCM team working together on achieving customer goals
An RCM team working together on achieving customer goals

It is best to start any process as early as possible. Credentialing can be a long process and can take up to 90 days or longer depending on each payer’s timelines.

Lately, more payers have lengthened their timelines considerably and have been expanding their enrollment requirements to include Non-Physician Practitioners (NPP). Med USA Provider Credentialing consist of a time-tested proprietary process and a highly trained team ready to help support you through the navigation of the complicated maze of provider enrollment and credentialing. We can help you enroll a new hire, transition from one practice to another, or even set up enrollment to a new group. We will take care of the details so that you can take care of your patients.

An RCM team hard at work
An RCM team hard at work

The Details Matter

We worry about the details, so you don’t have to:

  • Ensure information on payer applications is accurate and legible
  • Documentation review
  • CV detail review

Stay Up To Date

Med usa helps you stay up to date and current on:

  • Expiration Dates on Licenses and Other Documents
  • CAQH Profile + CVs – Maintain, update, and re-attest provider CAQH profiles and CVs.
  • Privileges at Affiliated Hospitals and Facilities – Help providers obtain privileges at affiliated hospitals and other facilities.
  • Re-Attestations – Re-attestation to maintain participation, meet enrollment requirements and keep all data and information up to date.
  • CME Hours
  • Board Certifications

In-House Compliance Experts for a More Efficient, Scalable Medical Practice

A team of RCM specialists working with a customer

With over 40 years in the industry as a provider and insurance credentialing company, we’ve helped countless healthcare providers across the country bill more efficiently and achieve financial transparency. Our dedicated team of medical billing experts is here to answer any questions you may have about physician credentialing services, whether you operate a lab, urgent care center, skilled nursing facility, hospital, or provider group!

  • CHARGE POSTING
  • PATIENT CONTACT
  • INSURANCE REIMBURSEMENT
  • Group 26 (2)
    REAL-TIME ANALYTICS
  • REIMBURSEMENT & PAYER MANAGEMENT
A team of RCM specialists working with a customer

How Med USA’s Healthcare Credentialing Services Are Different

As a healthcare revenue cycle management company, we understand first-hand the impact provider credentialing hason cash flow for your healthcare practice. Our expert team can analyze your practice’s current credentialing processes, automate them, and report back to you so you can focus on patient care, not credentialing requirements. Med USA offers both payer contracting and provider enrollment, as well as primary source verification, privileging, and hospital credentialing services.

We worry about the details, so you don’t have to.

  • Ensure information on payer applications is accurate and legible
  • Comprehensive documentation review
  • Thorough CV Detail review

Healthcare Provider Credentialing Services

You know that revenue cycle management plays a crucial role in practice success. However, inaccurate or delayed provider credentialing and enrollment can have an even greater impact on your cash flow. With over 40 years of experience managing orthopedic practice revenue, Med USA has witnessed firsthand how critical these processes are to the bottom line. That’s why our suite of solutions includes orthopedic provider credentialing and enrollment, payer contracting, privileging, and primary source verification. Schedule a practice demo to determine where your credential processes can be automated and optimized to help your practice drive faster revenue growth.

Get Ahead and Stay Up to Date on Your Credentialing Tasks

Credentialing can be a long process and can take up to 90 days or longer depending on each payer’s timelines — meaning it’s crucial to start as early as possible. Lately, more payers have lengthened their timelines considerably and have been expanding their enrollment requirements to include Non-Physician Practitioners (NPP).

Med USA Provider Credentialing consists of a time-tested proprietary process and a highly trained team ready to help you navigate the complex maze of provider enrollment and credentialing. We can help you enroll a new hire, transition from one practice to another, or even set up enrollment to a new group. We will take care of the details so that you can take care of your patients.

Discover the easier way to:

  • Keep up with expiration dates on licenses and other documents
  • Maintain, update, and re-attest provider CAQH profiles and CVs
  • Help providers obtain privileges at affiliated hospitals and facilities
  • Maintain participation, meet enrollment requirements and keep
  • Information up to date with re-attestation support
  • Keep an accurate and timely record of CME hours
  • Update and verify board certifications for your providers

Eliminate Errors. Reduce Claim Denials.

Provider credentialing and enrollment are complex and time-consuming processes that can strain an already overworked billing team. Our provider credentialing experts are here to help you complete these tasks accurately and on time. With our dedicated team keeping track of all deadlines, requirements, and other potential reimbursement barriers, your practice can do more with less.

Optimize Your Practice Today

How much revenue is your practice missing?

Reach out to see how our team can help!

Testimonials

Professionals like you are talking about Med USA