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Credentialing Services Mobile

Medical Credentialing Services

Medical credentialing services are pivotal for healthcare providers. They check if doctors and others who take care of us have the right papers and skills needed. It’s like making sure they’re VIP members in the world of medicine. If you type “Credentialing Services Near Me,” you’re probably trying to get new folks into your healthcare team faster and without any mistakes.

Here’s what you need to know:

They double-check licenses, education, and certificates.

Everyone who pays for healthcare wants this done, so it's super important.

Messy paperwork causes 30% of the time when you don't get paid back for treatments right away.

They make sure everyone follows the rules of big names like Medicare, Medicaid, and others with deep pockets.

Getting it right means you won't have to wait for your money, and everyone trusts you more.

So, it’s like having a trusty assistant who makes sure all your ducks are in a row before you start doing business with the big guys in healthcare. It keeps things smooth, quick, and trustworthy for everyone involved.

In network with all insurance panels

Benefits of Medical Credentialing Services

In network with all insurance panels

Outsourcing healthcare credentialing services and insurance credentialing services is a smart business move for a couple of big reasons. First off, it can cut down on claim problems by a huge 45% because it checks that doctors are good to go.

What’s great about this:

It speeds up the whole process of getting new doctors ready to work by 20-30%.

It keeps your medical place playing by the rules that big groups like NCQA, CMS, and the Joint Commission set.

It makes sure all the paperwork for getting paid by insurance companies is perfect.

This lets healthcare staff focus on patients while credentialing experts handle the complex, time-consuming tasks—like having a team for the important details.

Why Choose Practolytics for Best Medical Credentialing Services?

We help you streamline your credentialing process

When you’re searching for the best medical credentialing services, look no further than Practolytics. We’re the go-to choice for fast, precise, and knowledgeable help in this field. Our service includes end-to-end medical credentialing service from the very beginning when you first join, to keeping your details up-to-date later on.

Why pick Practolytics? Well, we have a pretty amazing success rate of 98% for the first time we help with the application process. Plus, each of our clients gets their very own credentialing manager, so you’re not just another number to us. We handle a wide range of payment options like Medicare, Medicaid, and various other plans out there.

Our system keeps you in the loop with real-time updates and helpful alerts, so you always know what’s going on. By choosing Practolytics, doctors and their offices can skip the revenue headaches, cut down on stressful paperwork, and join networks quickly. This means seeing patients and getting back to the important stuff faster.

We help you streamline your credentialing process
Features integrated with our services

Expertise in Medical Credentialing Services Across Specialties

Features integrated with our services

Our medical credentialing services are made to suit different areas of healthcare really well. This is why people say we’re some of the best in the country.

We work with

Regular doctor's offices

Places where the doctor talks to you online or by phone

Labs for tests

Homes for when you need care there

We have tailored credentialing paths for every specialty—primary care, psychiatry, orthopedics, cardiology, and more. Our experts know the rules and get it done fast.

Customer Stories

Jeff Angeline
Dr. Scott Schlauder
Dr. Nicole Cupp

FAQs about Credentialing

How does credentialing differ for different types of healthcare providers?

What needs to be checked changes based on what the provider does and where they work, like if they’re a mental health doctor versus a surgery center.

What documents are required for the credentialing process?

The checklist includes things like the provider’s license, proof of being really good at their job, a unique ID number, permission to handle controlled substances, insurance that says they won’t lose you money if they make a mistake, and a history of where they’ve worked.

Can medical credentialing services be outsourced?

Using outside help can be a smart move. It saves time, makes sure everything’s correct, and speeds up the time it takes for the payer to say yes.

What are the common challenges faced in healthcare credentialing services?

Some common issues are when papers are missing, the payer takes too long, the provider’s details are old, and not checking up regularly enough.

How often does a provider need to be credentialed?

Once the first round of checks is done, it’s a good idea to repeat the process every 2 to 3 years.

How much do medical credentialing services cost?

The price can be anywhere from $300 to $500 for each professional, and it really depends on what all needs to be checked and how many there are.

How long does medical credentialing take?

Usually, it takes about 2 to 4 months, but this can change based on who’s paying and the type of service provider.

How often are physicians' credentials reviewed?

Typically, every couple of years or so, based on who’s paying and where the service happens.

Customer stories

Practolytics has been invaluable to our practice since October 2022. Their expertise in coding guidance and provider audits has given us more confidence in the way we operate. Their team is not only knowledgeable but also incredibly supportive providing clear and concise guidance tailored to our specific needs. Their compliance audits have been thorough and insightful, helping us to identify areas for improvement that could prevent financial losses while also providing opportunities for further provider training. I highly recommend their service to anyone looking to enhance their billing and coding practices.

Carol Raugust – Practice Manager Platinum Hospitalists

Customer Stories

I have been a very satisfied client with Practolytics for nearly 5 years now. As you would expect, they are collecting the money that we have worked so hard for. We like the fact that they share our passion for data. We both approach our common issue i.e., how to collect money from a data centric viewpoint, and this drives improvement. The team is always willing to listen to us and make changes if necessary. Through the years we have asked for help with various office activities from credentialing to prior authorizations to procurement of outside medical records. Yes, these were add on-services, but outsourcing these activities to their team has been a winning solution that has intertwined the billing team into the success of our practice. These add ons have been a good value for us too. Lastly, we have easy access to one of the principal partners on the billing team, and the response time has always been excellent. Thank you! Practolytics!

Guy Lerner – MD Specialist in Pain Care, Kentucky

Customer Stories

We have been working with Manik and the rest of his team since August 2015. At that time, we were a clinic in need of guidance, in terms of credentialing, understanding the claims process and optimizing the use of the technology and stabilizing cash-flow. The team as a whole spent many hours upfront working to get everything moving smoothly and also developing relationships with most insurance companies. Manik’s hard work & dedication paid off as our practice more than tripled in visits, and we no longer had to tell the patients that we aren’t in the network. This more than anything has allowed us great patient flow and continued steady growth.

Robert Gass – Owner Care Physical Therapy, New York

Customer stories

We are a solo orthopedic practice in North Carolina and our relationship with Practolytics started in June 2015. They have staff members who are always willing to help. They work very hard to make us happy and I appreciate all that they do on a daily basis. They take out the worry of getting payments and always follow up with insurance companies. I found the customer service to be unsurpassed. All phone calls are returned and our questions are answered in a thorough and timely manner. The monthly reports are easy to read and provide a quick assessment of the health of the practice, including the company’s account receivables. When I need advice or am unsure of something, it gives me comfort to know that they are just a phone call away. Switching to Practolytics was truly one of the best decisions that I have made for our practice. I truly look forward to a longtime relationship with the staff at Practolytics.

Rekha Parikh – Administrator Orthopedic Solutions & Sports Medicine Center, North Carolina

Customer Stories

I started a new practice approximately 5 years ago. I have used Practolytics for my billing services over this entire period. I have also used them for integration of collections, adding new providers and DME. They have been excellent and are also part of the reason why I am so successful. They are very knowledgeable about billing. I not only see patients in clinic but also at the hospital and nursing home and also do surgical procedures in and out of the office. I have been very impressed with their level of skill and knowledge. They also do very good on communication. I would highly recommend them for any of your billing needs.

Dr. Nicole Cupp – MD Advanced Podiatry of Bartlesville

Simplify Your Credentialing Process – Let’s Talk

    Resources

    Ready to Level Up? It Starts with Your Credentials
    Ready to Level Up? It Starts with Your Credentials

    Credentials unlock your healthcare potential. They validate expertise, open insurance networks, and secure reimbursements.

    Medical Credentialing Services for Hospitals: A Comprehensive Guide
    Medical Credentialing Services for Hospitals: A Comprehensive Guide

    In the fast-paced, strict healthcare industry, hospitals must credential their staff. This ensures they meet high care standards.

    Medical Credentialing Services: A Guide for Healthcare Providers
    Medical Credentialing Services: A Guide for Healthcare Providers

    In today’s competitive healthcare scene, providers must be credentialed. This is vital to join insurance networks and get paid for their services. Healthcare providers undergo rigorous vetting.

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