Credentialing & Payer ServicesA Better Way to Manage Credentialing
We negotiate better fee schedules with commercial carriers for you on a fixed rate basis rather than hourly like most consultants.
Credential providers, manage delegated relationships, and track facility documentation through intelligent systems customized to your practice and managed by a dedicated team of certified professionals.
Managed Care ContractsWe can handle accurate, rapid-entry credentialing for physician and non-physician practitioners.
Enrollments ProcessingComplete, error-free credentialing when you need it, as well as re-credentialing services.
Dedicated ReviewsWe actively follow up with payers to ensure that your applications are being processed quickly.
Medicare RevalidationThe only way to get paid from Medicare is to accurately complete PECOS online enrollment and reassignment with forms CMS 855I and 855R - for both existing and new Medicare providers.
The only way to get paid from Medicare is to accurately complete PECOS online enrollment and reassignment with forms CMS 855I and 855R - for both existing and new Medicare providers.
Okay, this isn't completely true. You can still submit paper applications to Medicare, but they're seriously time consuming, and mistakes on paper applications can delay your enrollments by months.
Using the PECOS (provider enrollment, chain and ownership system) online system to submit your Medicare CMS 855I and 855R applications puts an end to manual tracking and significantly decreases your provider enrollment turnaround times. The trick is knowing how to successfully navigate through this useful online system.
This is where Practiceforces can help. Get your medicare reassignments or revalidations done in 30-45 days as per our past experiences.
Why Outsource Credentialing?
Due to evolving requirements of regulatory governmental agencies and insurance providers, credentialing has become a complex, labor-intensive administrative burden — a burden that directly impacts your revenue. The best credentialing requires the full-time attention of trained specialists.
- Initial and Re-Credentialing Solutions
- Expirables Management Services
- Delegated Credentialing Management
- Assessment & Reimbursement Optimization
Credentialing is a critical part of your revenue cycle. PracticeForces' certified experts can help you maximize your bottom line.
Simply Better Payer Services
You deserve to be paid for the work you do. Our Credentialing & Payer Services are designed to make that happen, without disruption to your day-to-day operations. We handle everything, from on-boarding your practice to ensuring your information secure.
- Information Security
- Quality Assurance