iSolve RCM

Professional Medical Credentialing Services by iSolve RCM

Contact Us

Top Medical Credentialing And Enrollment Services

The process of verifying a healthcare provider’s qualification is called credentialing. Credentialing is also known as insurance credentialing or doctor credentialing. Medical credentialing and enrollment are complex processes. Any small error in your document could lead to rejection, serious delays, or revenue loss. Every health insurance company has different turnaround times for the credentialing and enrollment process based on its eligibility criteria.

Are you in need of professional yet affordable medical credentialing and enrollment services? There is no need to search anywhere because you are at the right destination. We have experienced medical credentialing and enrollment experts who are highly skilled in credentialing documentation for physicians, healthcare facilities, and more. Count on iSolve RCM, the best medical credentialing company, for reliable medical credentialing services.

How Medical Credentialing Services Are Important For Your Practice?

Medical credentialing is really important for healthcare providers’ reputations. Through this, they can gain patients’ trust. Every patient, when they get sick, seeks high-quality medical care. None of them wants to go to an underqualified healthcare provider. To get quality treatment, patients go to a doctor who is qualified enough to treat them. That is why medical credentialing is important.

It enhances the reputation of your practice, and you can also get recognized by insurance companies. When patients do research before visiting your healthcare organization, it will automatically create a sense of trust in you and peace of mind for them. Additionally, it helps you increase patient engagement, which ultimately leads to greater revenue. Medical credentialing services defend your organization against lawsuits. Stop by today for unmatched credentialing services in USA.

Step-by-Step Guide To Our Credentialing Process

The following are the steps of our credentialing process at iSove RCM, a medical credentialing service provider.

1

The initial and most crucial step in the credentialing process is collecting all the necessary and accurate details about the healthcare provider.

2

Before verification and submission, make sure the provider is enrolled in CAQH, as it saves time and reduces paperwork.

3

The third step is submission. Our experts gather all the important documents and then submit the application to the credentialing entity.

4

After submission, the insurance company begins verification of the documents to ensure the reliability of the data.

5

A credentialing committee review verifies the provider’s information, certificates, licenses, and more, and then either denies or approves the provider.

6

The healthcare provider signs a contract after being approved, and they can begin offering services after completing the required training.

Technology Platforms

Item 1
Item 2
Item 3
Item 4
Item 5
Item 1
Item 2
Item 3
Item 4
Item 5
Item 1
Item 2
Item 3
Item 4
Item 5

Technology Platforms

Our Outsourced Credentialing Services

Here are some key outsourced credentialing services we provide at iSolve RCM, the professional medical credentialing company.

Medicare and Medicaid Provider Enrollment

It is the largest insurance program in USA. Our professional Medicare and medicaid enrollment services help healthcare providers optimize the efficiency of their practice’s involvement in these government programs.

DEA Certification Registration & Renewal

All healthcare providers must have certification from the Drug Enforcement Administration (DEA) to prescribe and distribute controlled substances in adherence to federal laws. Our expert DEA Certification Registration & Renewal services manage everything from initial registration to timely renewal to help you maintain the legal permission to prescribe controlled substances.

Reimbursement Issues Audit

Are you dealing with reimbursement issues? Don’t let them delay your payment. We have highly trained professionals who quickly pinpoint the problem and resolve it immediately to reduce delayed payments. Rely on us for fast and efficient reimbursement issue audits.

NPI Registration (Type 1 and Type 2)

Our reliable NPI registration helps you with timely reimbursement processing and accurate billing. We have a professional team that specializes in handling both types of NPI registration: Type 1 individual providers and Type 2 organizations, which ensures HIPAA-compliant claim submission.

CLIA Registration

CLIA registration is very important for healthcare providers. At iSolve RCM, we assist healthcare providers with Clinical Laboratory Improvement Amendments (CLIA) registration to maintain quality, ensure patient safety, and ensure laboratories comply with federal regulations

Hospital Privileges

Interested in acquiring hospital privileges? iSolve RCM, an affordable medical credentialing service provider, has you covered. Our medical credentialing experts help you get these privileges. It will help you gain your professional reputation. You can perform surgeries and have the chance to work with other healthcare providers.

Revalidation & Re-Credentialing

Every healthcare provider must go through revalidation after five years and re-credentialing every three years. It is important for them to maintain eligibility in Medicare, Medicaid, and commercial insurers. Join us today for hassle-free revalidation and re-credentialing services.

Commercial Insurance Credentialing

Want to receive higher reimbursement rates? Worry not! We’ve got everything you need. Our provider credentialing specialists carefully prepare applications for the most relevant payers, such as Aetna, Cigna, Humana, and UnitedHealthcare, which help providers build high-value networks and improve overall revenue.

Insurance Contract Negotiation

Effective insurance contract negotiation is essential for healthcare providers to establish a clear payment schedule and receive the best possible payment. Our credentialing specialists are well-versed in insurance requirements and help achieve financial stability.

CAQH Enrollment and Maintenance

If you are facing delayed credentialing, then your CAQH profile may not be maintained. But there is no need to fret! Our experts carefully manage your profile, ensuring the CAQH profile is accurate and adheres to all insurance company standards. Visit us today for reliable CAQH enrollment and maintenance services.

Medical and Behavioral Health Licensing

If your practice does not have a proper license, you won't be able to bill insurance companies, which impacts the overall success of your practice. You should get the best medical and behavioral health licensing services from iSolve RCM to avoid penalties, secure better reimbursement rates, and experience fewer rejection rates.

DMEPOS Medicare Enrollment

Get timely and proper reimbursement with our DMEPOS medicare enrollment services. Our experts make sure you meet all eligibility requirements and adhere to medicare regulations to ensure a seamless enrollment process and reduce delays. It protects the financial stability of your practice, so your only focus is on patient care.

Why Choose Us?

Choose iSolve RCM, one of the top medical billing companies, for affordable medical billing and consulting services.

  • 100% HIPAA-Compliant Medical Billing
  • Boost Revenue
  • Less than 1% Rejection
  • 99% Acceptance
  • No Hidden Fees
  • Enhance reimbursement outcomes
  • 24/7 Access
  • As low as 2.99% of monthly collections

Get Free Consultation

What Makes iSolve’s Provider Enrollment and Credentialing Services Stand Out From Others

Credentialing Experts: 
At iSolve RCM, we have experienced medical credentialing and enrollment experts with years of experience, well-versed in provider credentialing, who provide the best credentialing services for mental health providers.

Fast Credentialing:
We promptly handle your credentialing process, reducing it from months to weeks, which helps you focus on patient care. Save your time with our provider enrollment and credentialing services.

24/7 Accessibility:
We are always here for you. Reach out to us anytime you want through our online portal.

Continuous Follow-Up: 
Our team of experts conducts continuous follow-up until the application is approved. 

Up-to-Date Credentialing:
Our experts are knowledgeable about current credentialing rules and offer up-to-date services using modern tools and advanced technology.

Increase Revenue:
Our experts increase revenue through our efficient revenue cycle management services. 

FAQ's

In simple words, medical credentialing is the process in which we check the qualifications and medical service history of healthcare providers.

The process by which a healthcare provider becomes a member of a health insurance plan is called enrollment in healthcare.

There are three main types of credentialing:

  1. Initial credentialing: Verifying the qualification of a new healthcare provider.
  2. Re-credentialing: The reverification of a healthcare provider after a certain period
  3. Provisional credentialing: It is a temporary process that permits healthcare providers to begin practicing expert medical services.

The medical credentialing process typically takes 90 to 120 days to complete.

Absolutely! At iSolve RCM, we provide transparency in all our processes.