Credentialing & Contracting Services for Medical Practices

Why Choose Us?

• Expertise You Can Trust: Years of experience in medical billing and payer negotiations.
• Tailored Solutions: Every practice is unique, and so are our strategies.
• Proactive Communication: We keep you informed at every step of the process.

Let us handle the administrative complexities so you can prioritize patient care.

Fee Negotiation

Maximizing your revenue starts with ensuring fair and competitive reimbursement rates for the services you provide. Our fee negotiation process is designed to put you in the best position to succeed financially, while maintaining strong relationships with payers.

• In-Depth Market Analysis: Before entering negotiations, we conduct a thorough analysis of your current reimbursement rates compared to industry benchmarks and regional standards. This ensures we have a clear understanding of where your rates stand and what improvements are achievable.
• Advocacy for Competitive Rates: Armed with data and expertise, we negotiate directly with payers on your behalf. Our goal is to secure reimbursement rates that reflect the value of your services, your practice’s unique strengths, and the level of care you provide.
• Specialized Strategies: Whether you're negotiating contracts for a new practice, renegotiating existing terms, or expanding your payer network, we tailor our approach to meet your specific needs. We consider factors such as your specialty, location, and patient demographics to craft a strategy that maximizes results.
• Transparent Communication: Throughout the process, we keep you informed of all developments and provide detailed explanations of the negotiation outcomes. You’ll have a clear understanding of how each agreement benefits your practice.
• Ongoing Support: Fee negotiation is not a one-time task—it requires continuous effort to ensure rates remain competitive. We provide ongoing reviews of your contracts and proactively renegotiate as needed to adapt to changes in the healthcare landscape.

When you partner with us for fee negotiation, you’re not just getting a service—you’re gaining a dedicated advocate committed to improving your bottom line.

Payer Follow-Up

Keeping up with payer requirements and maintaining strong relationships with insurance providers are critical for the financial health of your practice. Our comprehensive payer follow-up service is designed to eliminate the headaches of dealing with administrative delays, ensuring your contracts and credentialing remain up to date and your reimbursements are processed efficiently.

• Timely Credentialing and Recredentialing: We manage the credentialing process from start to finish, ensuring that all necessary documentation is accurate and submitted on time. For recredentialing, we proactively track deadlines and handle updates to prevent interruptions in your participation status with payers.
• Resolving Delays and Disputes: If there are delays in processing credentialing applications, contract renewals, or reimbursements, we step in to resolve the issues. Our team works directly with payer representatives to identify roadblocks and expedite resolutions.
• Contract Compliance Oversight: Payers often update their policies and requirements, which can affect your contracts. We closely monitor these changes to ensure that your agreements remain compliant and identify opportunities for renegotiation or optimization.
• Proactive Follow-Up on Claims Issues: Delayed or denied claims can be a significant source of frustration for medical practices. We follow up with payers to investigate and address the root causes of claim issues, minimizing disruptions to your revenue cycle.
• Comprehensive Documentation and Reporting: Transparency is key to our process. We maintain detailed records of all interactions with payers and provide regular updates, so you are always informed about the status of your contracts, credentialing, and reimbursements.
• Relationship Management: Building and maintaining positive relationships with payers is an essential part of securing favorable outcomes. Our team fosters these connections to ensure smoother communication and quicker resolutions to any challenges that arise.

With our payer follow-up services, you can rest assured that the administrative complexities of medical billing and contracting are handled with precision and care, allowing you to focus on delivering exceptional patient care.