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Your Partner in Seamless  Credentialing

Your Partner in Seamless Credentialing

At iMed Billing Pro, we understand the intricate process of credentialing in the healthcare industry. Credentialing is not merely a bureaucratic task; it's the cornerstone of trust and reliability in healthcare delivery. That's why we're dedicated to providing comprehensive credentialing solutions tailored to meet the unique needs of healthcare providers, facilities, and organizations.

What is Credentialing?

Credentialing is the process of verifying and assessing the qualifications, experience, and background of healthcare professionals and entities. It involves verifying their education, training, licensure, certifications, and any relevant professional affiliations to ensure they meet the standards set forth by regulatory bodies, insurance companies, and healthcare organizations

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Why is Credentialing Important?

  • Patient Safety

    Ensures that healthcare providers have the necessary qualifications and competencies to deliver safe and effective care to patients

  • Regulatory Compliance

    Helps healthcare organizations comply with state and federal regulations, accreditation standards, and payer requirements.

  • Insurance Reimbursement

    Facilitates the enrollment of providers with insurance networks, allowing them to bill and receive reimbursement for services rendered

  • Professional Credibility

    Enhances the reputation and credibility of healthcare providers and organizations, instilling confidence in patients and stakeholders

Our Credentialing Services

  • Provider Credentialing

    We assist healthcare providers, including physicians, nurse practitioners, physician assistants, and allied health professionals, in completing credentialing applications, gathering required documentation, and navigating the credentialing process with insurance companies, Medicare, and Medicaid.

  • Facility Credentialing

    We support healthcare facilities, such as hospitals, clinics, and ambulatory surgery centers, in credentialing their staff and ensuring compliance with accreditation requirements.

  • Credentialing and Maintenance

    We help providers and facilities stay current with ongoing re credentialing requirements, ensuring continued eligibility for participation in insurance networks and healthcare programs.

  • Credentialing Consultation

    Our team of credentialing experts provides personalized consultation and guidance to healthcare organizations, offering insights into best practices, regulatory updates, and strategies for optimizing the credentialing process.

Our StreamlinedCredentialing Process

Contact iMed Billing Pro to discuss the details of your organization and health plans for credentialing

We will gather all the necessary information, such as education transcripts, licenses, certifications, and references, to meet each payer’s requirements

Our dedicated team will complete the applications and submit them to your preferred payers

iMed Billing Pro will check your credentials with the organizations who issued them. Our knowledgeable staff will confirm everything with the authorized sources. We will help to obtain approval from hospitals and insurance companies once everything is in order.

Efficient CAQH Registration and Maintenance 

Our credentialing specialists handle the registration and upkeep of your provider’s profile on the Council for Affordable Quality Healthcare (CAQH) Provider Data Portal (formerly known as CAQH ProView). This streamlined approach simplifies the credentialing process with multiple health plans.

Ensuring Ongoing Compliance: Revalidation & Re-Credentialing 

Revalidation and re-credentialing stand as pivotal processes for upholding perpetual compliance and active status with payers. Typically, validation recurs every five years, while re-credentialing transpires every three years.

Our physician credentialing services guarantee a smooth revalidation and re-credentialing procedure with Medicare, Medicaid, and commercial insurers. We meticulously update your demographics, encompassing practice location and contact information, preempting any potential delays or penalties

Facilitating DEA Certificate Application & Renewal

All licensed professionals who prescribe restricted medications are required to hold a federal Drug Enforcement Administration (DEA) certificate. Our healthcare credentialing services encompass the application and renewal processes for DEA certificates. We empower healthcare providers to prescribe and manage controlled substances within their respective specialties.

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Streamlining CLIA Registration

Practitioners and laboratories conducting tests for disease diagnosis, prevention, or treatment must adhere to the Clinical Laboratory Improvement Amendments (CLIA) regulations.

Our healthcare credentialing services include comprehensive assistance with the CLIA registration process. This ensures healthcare providers are properly registered, enabling them to deliver essential testing services to patients

Get Started Today

Don’t let credentialing complexities hinder your practice or facility’s success. Partner with iMed Billing Pro and experience the peace of mind that comes with knowing your credentialing needs are in expert hands. Get in touch with us right now to find out more about our credentialing offerings and how we can help your healthcare journey.

At iMedbillingPro, we are aware of the challenges and suffering that healthcare providers encounter when delivering first-rate patient care. 

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