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I’m offering end-to-end revenue cycle management services that include Coding, claim submissions and follow ups; rejection handling; denial management and appeals; and timely payment postings to ensure maximum reimbursements.
The longer claims go unpaid, the less likely it is they will be paid. I will follow up on denied claims and correct the mistakes and resubmit to insurance companies.
Yeah, I’m well familiar with ICD-10 coding.
I am comfortable with medical terminology as a whole and have extensive knowledge of terminology associated with both dermatological and ophthalmologist procedures.
The first thing i do is find out why a claim has been denied. If i feel that the denial is unfair, i consult with the doctor in question and re-file the claim providing information with medical records and proof of why it should not have been denied.
I am computer savvy. Apart from being able to work with most common software, i am familiar with intellect-chart, eclipse, officeally, Kareo, curemd and many more.
My credentialing process is easy and straightforward for each provider. All the documents are reviewed carefully and fill application according to both URAX and NCQA guidelines. I will keep my clients updated after successful application submission. You can track your application status online.
The credentialing process may take 1 week from the time we receive your completed application. Once the application successfully completed, it will take 30-60 days to approve the application. Sometime insurance companies approve the application in 2-3 weeks according to your practice specialty.
The credentialing application is filled with every piece of mandatory information. Details of your practice, your education, license, NPI, work history, DAE, CDS, board certification, CAQH, PECOS details, affiliation, fresh resume, CME documents, peer reference and medical certificates.
The most important thing is to make sure I fill out the application form entirely because leaving any questions blank can cause the entire process to drag down. It all depends on the insurance company to process the application according to their criteria.
NO, it’s all up to payers and requirement of that particular specialty in that specific service location. Always try to apply for all line of business to get credential first time after that you can disenrolled as required.
My credentialing services cover more than 40+ specialty and have work with many payers to help my client in credentialing and enrollment.
First and foremost thing is to initiate applications with available IPAs to get contracted at first place. Otherwise we can escalate/expedite our request for joining network with payers in the form of appeals.
Yes! Depending on the specialty of the provider.
Once I process your credentialing application, you can track your application anytime online using you CAQH account or I will keep you posted about the application process.
Yes, I can help with EFT, EDI, and ERA setup with your insurance and can create insurance portals for your practice.