Medical Credentialing Services

Streamline Your Medical Credentialing Process with Medcare MSO

Welcome to Medcare MSO, your trusted partner for optimizing the medical credentialing process. We specialize in simplifying provider enrollment and credentialing to help expand your network. From verifying qualifications to navigating complex insurance networks, our dedicated team streamlines credentialing, allowing you to prioritize patient care and practice excellence.

Why Should You Outsource Medical Credentialing Services?

Outsourcing medical credentialing provides healthcare practices with a strategic advantage in navigating the complexities of the credentialing process. Managing provider enrollment, maintaining records, and ensuring regulatory compliance all demand specialized expertise. By outsourcing, practices can reduce the burden on internal resources, mitigate the risk of errors, and maintain a streamlined credentialing workflow.

Medical Credentialing Process

Increased Revenue:

Initiate Credentialing Process:

Contact the credentialing service provider, if working
with one.

Increased Revenue:

NPI Registration:

Register for a National Provider Identifier (NPI) for proper identification in billing and claims.

Increased Revenue:

Medicare and Medicaid Enrollment:

Enroll with Medicare and Medicaid for government program access.

Increased Revenue:

Contract Negotiation:

Negotiation is required with each insurance payer to obtain the most favorable terms and maximum reimbursement rates.

Increased Revenue:

Submission to Payers:

Submit credentialing documents to the respective insurance payers.

Increased Revenue:

Document Collection:

Gather all necessary documents required for
credentialing.

Increased Revenue:

CAQH Registration:

Obtain CAQH registration and keep profiles updated to meet health plan requirements.

Increased Revenue:

Commercial Insurance Credentialing:

Navigate the credentialing process as specified by each commercial insurance provider.

Increased Revenue:

Final Document Review:

Conduct a final review of all documents to
ensure completeness.

Increased Revenue:

Revalidation & Compliance Verification:

Revalidation and re-credentialing are required over time to ensure continuous compliance and active status with payers.

Medical Credentialing Process

Increased Revenue:

Initiate Credentialing Process:

Contact the credentialing service provider, if working with one.

Increased Revenue:

Document Collection:

Gather all necessary documents required for credentialing.

Increased Revenue:

NPI Registration:

Register for a National Provider Identifier (NPI) for proper identification in billing and claims.

Increased Revenue:

CAQH Registration:

Obtain CAQH registration and keep profiles updated to meet health plan requirements.

Increased Revenue:

Medicare and Medicaid Enrollment:

Enroll with Medicare and Medicaid for government program access.

Increased Revenue:

Commercial Insurance Credentialing:

Navigate the credentialing process as specified by each commercial insurance provider, to obtain network access and reimbursement agreements.

Increased Revenue:

Contract Negotiation:

Negotiation is required with each insurance payer to obtain the most favorable terms and maximum reimbursement rates.

Increased Revenue:

Final Document Review:

Conduct a final review of all documents to ensure completeness.

Increased Revenue:

Submission to Payers:

Submit credentialing documents to the respective insurance payers.

Increased Revenue:

Revalidation & Compliance Verification:

Revalidation and re-credentialing are required over time to ensure continuous compliance and active status with payers.

Why Choose Medcare MSO for Your Credentialing?

choose medcare mso icon

Maximize Your Revenue Potential

Our healthcare credentialing services optimize reimbursement processes, ensuring you get paid faster and maximize your practice’s revenue potential.

Rapid Turnaround Time

Expect a streamlined physician credentialing process with significantly reduced lag time. Our services are geared towards getting you up and running without unnecessary delays.

Highly Successful Claim Submissions

Medcare MSO has a stellar track record of successful claim submissions with over 90% first-time successful claim submission rates. Our expert team ensures that your claims are accurately processed, increasing the probability of timely reimbursement.

Tailored Solutions for Your Practice

No two practices are just alike, and neither are their needs. Medcare MSO crafts personalized physician credentialing solutions, aligning our services with your practice’s unique requirements.

What Do Customers Love About Us?

Our experience with Medcare MSO is great. They help us to increase our revenue with their quality billing and customer support services. Always recommend them to others.

JOSHUA ARANT

Chief Operating Officer, Care Now Clinic

Our revenue has gone up by 30%, first-through pass rates are great, and we have complete visibility through the entire process.

JIM GROSSI

CEO, ARK MEDICAL LABS

Medcare MSO has been and continues to be critical to the success of Ion Diagnostics. Our needs are rooted in compliance and dedicated, responsive client service. They deliver on both ends and are outstanding in revenue cycle management. Medcare MSO is a true partner.

JAMES BERG

Chief Operations Officer, ION DIAGNOSTICS

Our Medical Credentialing Services Benefit All Kinds of Practitioners

Hospitals

Clinical Social Workers

Registered Nurses

Podiatrists

Clinics

Physical Therapists

Optometrists

Clinical Psychologists

Physicians

Occupational Therapists

Marriage and Family Therapists

Dentists

Speech-Language Pathologists

Chiropractors

Ready to experience a streamlined and efficient medical credentialing process? Partner with Medcare MSO and let our expert team provide you with smooth and efficient physician credentialing services. Maximize your revenue potential, reduce lag time, and ensure successful claim submissions.