BUILD TRUST THROUGH CREDENTIALING SERVICES
Recognizing the importance of thorough medical credentialing services is crucial. Trust from patients pays off in the long run. We understand the significant benefits, though the associated time and financial costs can be daunting.
However, this shouldn’t discourage you from reaping the rewards. Managing this internally may hinder patient care.
Balancing administrative tasks and patient care can lead to billing errors and revenue loss. Our expertise in medical and insurance credentialing and efficient document planning ensures compliance with health professional certification requirements and HIPAA regulations. Our specialized software simplifies the process, allowing you to navigate with ease.
Contract / Payer Negotiation
RCMB offers re-credentialing services to keep healthcare practitioners aligned with the latest certification requirements.
Re Credentialing Services
RCMB offers re-credentialing services to keep healthcare practitioners aligned with the latest certification requirements.
EDI Enrolment
We help your organization in EDI enrolment registration to avoid an unnecessary hassle in claims submission.
EFT Enrolment
We prefer EFT enrolment of your organization to ensure fast and credible payments direct to your bank accounts.
CAQH
We proudly present our services in alignment with the CAQH standards to ensure effective credentialing services.
NPPES
RCMB follows NPPES to regard the privacy and confidentiality of your medical information.
PECOS
RCMB makes sure you are enrolled in PECOS e-portal for delivering medical services without hassle.
AVAIL OUR CREDENTIALING Services
The best solution to keeping up-to-date with the changing requirements of payers is to outsource the revenue cycle management and medical credentialing services to a credible and expert medical billing company. RCMB has been in the medical billing field for over a decade, and our specialist team of medical billers and coders is well-versed in their expertise.
We deal with both government and commercial-level provider enrolment and credentialing services. From initial enrolment and paperwork to the follow-up and re-credentialing, our dedicated team keeps you updated on every step of the journey. We have covered you, whether it’s CAQH registration, PECOS enrolment, and commercial credentialing.
FAQ's
What is Medical Credentialing?
Medical credentialing, also known as provider credentialing, is the process of verifying the qualifications, experience, and background of a healthcare provider. This ensures that they meet the necessary professional standards required by insurance companies and healthcare facilities.
Why is Insurance Credentialing Important?
Insurance credentialing is crucial for healthcare providers to be eligible for reimbursement from insurance companies. This process involves verifying a provider's qualifications and ensuring they meet the standards set by insurance providers.
How Can Medical Credentialing Companies Assist Providers?
Medical credentialing companies, like ours, specialize in streamlining credentialing enrollment. We have hundreds of satisfied customers all across the United States. Our credentialing specialists handle the documentation, planning, and ensure compliance with health professional certification requirements. This allows providers to increase efficiency and comply with HIPAA as well.
What Are Physician Credentialing Services?
Physician credentialing services involve verifying the qualifications and background of physicians. This process is essential for individual clinics, hospitals, and health professional to ensure they have qualified and reputable professionals on their team
Open medical billing systems
Closed medical billing systems
Isolated medical billing systems
How Does Efficient Software Impact Credentialing?
Efficient credentialing software plays a vital role in simplifying the credentialing process. It helps in managing the documentation, ensuring compliance with HIPAA regulations, and expediting the overall process for healthcare providers.
How Does Credentialing Benefit Health Care Providers and Health Insurance Companies?
Credentialing ensures that health care providers meet rigorous standards, assuring quality care delivery to patients. For health insurance companies, this process guarantees that their network includes trusted professionals, enhancing the overall quality of service for policyholders and ensuring success.