Request and Submission of Initial Contract and First Provider Enrollment Health Plan Application Includes Site Visits and orientation/staff training.
We facilitate the coordination of the initial contract and provider enrollment for healthcare providers with health plans. Our services involve managing paperwork, scheduling and coordinating site visits, organizing orientations, and arranging staff training sessions. While our assistance does not include denial appeal procedures, our focus is on establishing the contractual agreement between the provider and the health plan
Government Enrollment - Medicaid - Medicare - Railroad Medicare
We assist healthcare providers in government enrollment, which involves registering them for Medicaid, Medicare, and Railroad Medicare. Providers must meet eligibility criteria and comply with program regulations to participate in these government-sponsored healthcare programs. Our services include guiding providers through the enrollment process, ensuring they meet requirements, and helping them navigate program regulations for successful participation.
Hospital Privilege Initial/Recredentialing Application
We assist healthcare professionals in the Hospital Privilege Initial/Recredentialing Application process.
This involves completing required forms, submitting documentation of qualifications and experience, and undergoing review by the hospital's credentialing committee. Our goal is to ensure providers meet the hospital's standards and are qualified to deliver patient care within its facilities.
Assisting Living/Nursing Homes/Skill Nursing Facilities
Assisting nursing facilities involves providing support services to ensure the smooth operation of the facility. This includes tasks such as administrative assistance, staffing support, regulatory compliance, and operational management. The goal is to help nursing facilities maintain high standards of care and efficiency in serving their residents.
Register for CAQH and NPI
We help healthcare providers register for CAQH and obtain their NPI. This simplifies the credentialing process, reduces administrative work, and ensures smooth participation in healthcare programs and networks.
Act as a liaison between client and Insurance companies
We act as a bridge between clients and insurance companies, facilitating communication and resolving issues to ensure smooth interactions.
Contracting and Credentialing issues
We help healthcare professionals with contracting and credentialing issues, simplifying the process and addressing challenges as they arise.
CAQH – 120 Days Attestations and Updates
We assist healthcare providers with CAQH by managing their 120-day attestations and updates. This ensures their information remains current and compliant with CAQH requirements, streamlining the credentialing process and reducing administrative burden.
NPPES Profile Maintenance
We aid healthcare providers in maintaining their NPPES (National Plan and Provider Enumeration System) profiles. This includes updating and managing their information to ensure accuracy and compliance with regulatory requirements, streamlining administrative tasks and facilitating smooth participation in healthcare programs.
Recredentialing/Reenrollment/Group Link/Revalidations/Reassignment Applications
We assist healthcare providers with various recredentialing and reenrollment processes, including group linking, revalidations, and reassignment applications. Our services streamline these administrative tasks, ensuring compliance with regulatory requirements and facilitating seamless participation in healthcare networks and programs.
Conference call with provider group
Assisting provider group conference calls by ensuring smooth communication, managing agendas, and facilitating productive discussions.
Provider Credentialing Tracking (DEA/Medical License)
Assistance on provider credentialing tracking involves managing and monitoring the status of DEA registration and medical licenses for healthcare professionals. This includes keeping records updated, ensuring compliance with regulations, and facilitating the renewal process to maintain legal and regulatory requirements.
Demographic Practice Quarterly Validation
Assistance with quarterly validation of practice demographics involves ensuring accuracy and completeness of data related to the practice's demographic information. This includes verifying and updating details such as patient demographics, provider information, and practice locations to maintain data integrity and support effective healthcare operations
Expirable Tracking Office permits
Assistance in tracking expirable office permits involves managing and monitoring the validity of permits essential for office operations. This includes keeping records updated, monitoring expiration dates, and facilitating the renewal process to ensure compliance with regulations and uninterrupted business operations.
Office Consulting
Services for office consulting entail providing expert guidance and support to optimize office operations and efficiency. This includes assessing current workflows, recommending improvements, implementing best practices, and offering strategic advice to enhance productivity and effectiveness within the office environment.
Administrative work
Services for administrative work in healthcare practices involve managing a variety of tasks essential for smooth operation. This includes scheduling patient appointments, managing medical records, handling insurance claims and billing, maintaining compliance with healthcare regulations, coordinating referrals, and providing general administrative support to healthcare professionals.
These services help streamline operations and ensure efficient delivery of care to patients.
Interim Office Manager
Our service provides interim office manager solutions tailored specifically for healthcare practices.
We offer temporary oversight of administrative operations, including staff supervision, policy implementation, financial management, and compliance assurance. Our goal is to ensure seamless continuity and efficient operation during transitional periods or staff absences, allowing healthcare practices to focus on delivering quality patient care
PRN Office Manager/support
Our PRN Office Manager/Support service offers flexible administrative solutions for healthcare practices.
We provide temporary assistance as needed, managing tasks like staff coordination, policy implementation, financial oversight, and compliance assurance, allowing practices to maintain smooth operations during transitions or busy periods
Realtor
Our services specialize in real estate solutions for healthcare practices. From location scouting to lease negotiation, we handle every aspect of property acquisition and management. With our expertise, practices can focus on patient care while we ensure they find the perfect space to thrive.
Permits
We specialize in managing permits for healthcare practices, handling acquisition, renewal, and compliance. Our streamlined approach ensures uninterrupted operation and full regulatory adherence.
Marketing
We specialize in marketing solutions for healthcare practices, crafting tailored strategies to boost your brand and attract more patients. From digital campaigns to content creation, we help you stand out and grow your practice.
Contracting and Enrollment Initial Request Package
Our Contracting and Enrollment Initial Request Package streamlines the process for healthcare practices to join insurance networks. We handle all aspects of the initial request, from compiling necessary documents to submitting applications. With our expertise, practices can navigate the complex contracting and enrollment process with ease, ensuring timely approval and participation in desired networks.
Eligibility Verification
We streamline insurance eligibility verification for healthcare practices, ensuring accurate and timely coverage confirmation. Our services reduce administrative burdens, allowing practices to focus on patient care
Co-pay/Balance Daily Report
Our Co-pay/Balance Daily Report service delivers daily insights into co-pays and balances for healthcare practices. We provide detailed reports to help practices track and manage their financial transactions effectively, ensuring accurate record-keeping and streamlined revenue management
Charge Posting
We handle charge posting for healthcare practices, ensuring accurate recording of medical services rendered. Our service streamlines billing processes, reduces errors, and optimizes revenue cycle management.
EDI Submissions/Rejections
We handle EDI submissions and rejections for healthcare practices, streamlining billing processes and maximizing reimbursement efficiency
AR/Denial Management
We specialize in accounts receivable (AR) and denial management for healthcare practices. Our service focuses on efficiently resolving claim denials, optimizing revenue, and improving cash flow
Authorization/Referrals
We manage authorization and referral processes for healthcare practices, ensuring timely approvals and smooth referrals. Our service streamlines administrative tasks, reduces delays, and enhances patient care coordination.
Payment Posting
We handle payment posting for healthcare practices, accurately recording and reconciling incoming payments. Our service streamlines financial processes, improves accuracy, and enhances revenue cycle management.
Patient Billing/Statements
We provide patient billing and statement services for healthcare practices, ensuring accurate and timely invoicing. Our service streamlines billing processes, improves transparency, and enhances patient satisfaction.
Patient Collection
We specialize in patient collection services for healthcare practices, facilitating the efficient retrieval of outstanding balances. Our service optimizes revenue recovery, reduces delinquencies, and improves financial performance
Monthly Reporting on Payment and AR Status
We offer comprehensive monthly reporting on payment and accounts receivable (AR) status for healthcare practices. Our service provides detailed insights into financial performance, helping practices track revenue, identify trends, and make informed decisions to optimize financial health.
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