Our enrollment and credentialing services are highly affordable and cost-effective. Contact us now to get started!
Have Your Credentialing Managed by Our Experts
Proper medical billing credentialing is crucial for your practice to make an impact in the healthcare sector. Without accurate credentialing and enrollment, your practice risks facing adverse consequences, including potential legal issues. It’s essential to partner with a professional credentialing and enrollment company that manages all documentation and provides a complete revenue cycle management system for medical billing and coding.
At JP Health Cure we offer a comprehensive package for credentialing and revenue cycle management, along with expert consultancy for optimal results. Our services cater to various medical practices, including custom solutions for psychologists. Our affordable and cost-effective credentialing and billing services will save you time and money, allowing you to focus on patient care with peace of mind.
Credentialing and Recredentialing: All Backed Up!
Credentialing in medical billing is not a one-time task. As medical practices evolve and new regulations are introduced by the U.S. government or state authorities, ongoing re-credentialing is essential to remain compliant with legal and ethical standards. Our credentialing experts at JP Health Cure can handle this ongoing process for you, ensuring your practice stays current with all standards and regulations, and relieving you of the associated hassles.
Credentialing and Recredentialing: All Backed Up!
Credentialing in medical billing is not a one-time task. As medical practices evolve and new regulations are introduced by the U.S. government or state authorities, ongoing re-credentialing is essential to remain compliant with legal and ethical standards. Our credentialing experts at JP Health Cure can handle this ongoing process for you, ensuring your practice stays current with all standards and regulations, and relieving you of the associated hassles.
Our Credentialing Experts Are Best in the Game!
Becoming a qualified credentialing expert typically requires around 10,000 hours of dedicated work in the field to achieve true expertise. At JP Health Cure, our team includes some of the most experienced credentialing experts in the industry. These professionals have dedicated significant portions of their careers to medical billing and credentialing, serving both large and small healthcare providers. Their extensive experience ensures that your practice benefits from expert credentialing and recredentialing services, allowing you to focus on patient care without the burden of complex documentation processes.
Our Credentialing Experts Are Best in the Game!
Becoming a qualified credentialing expert typically requires around 10,000 hours of dedicated work in the field to achieve true expertise. At JP Health Cure, our team includes some of the most experienced credentialing experts in the industry. These professionals have dedicated significant portions of their careers to medical billing and credentialing, serving both large and small healthcare providers. Their extensive experience ensures that your practice benefits from expert credentialing and recredentialing services, allowing you to focus on patient care without the burden of complex documentation processes.
Required Details for Credentialing and Enrollment
Let’s review the key requirements for proper credentialing of your practice. While these requirements may differ depending on the standards set by insurance companies, the most common ones generally include the following
- Names
- Gender
- Race/Ethnicity
- Home/Mail address
- Most Recent picture
- Recent Resume
- Date of birth
- Contact Number
- Information of Citizenship
- Social Security number
- Training, Facilitation, and Education
- History of Career
- National Provider Identifier (NPI) number
- Certification from Board
- Patient age focus
- Hospital affiliations
- Medical group affiliation
- History of claims failure
- Professional liability insurance Evidence
- Recent medical education documents
- References of Peers
- Residency
- Specialties
- Certificates related to Specialties
- Qualifications
- Licensing
- Practice Tax ID Number
- Practice Contact number
- Primary practice contact
- Disciplinary actions or Sanctions
- Languages spoken
We work with these EHRs
Our medical billing specialists are proficient with all EHR systems, ensuring the submission of clean claims regardless of your EHR, for a hassle-free and efficient billing process in your healthcare facility
Credentialing and Enrollment FAQs
Fundamentally, credentialing refers to the formal validation of a medical or healthcare provider in a specific private health plan and enabling the provider to get the approval to join the network. On the other hand, the act of enrollment refers to the process through which a provider requests participation in a health insurance network.
The standard duration to complete the credentialing process takes on average 90 to 120 days. However, if you hire credentialing experts from the billing sector, you can reduce the time frame to less than 90 days as well.
Privileging includes a health care facility, for instance, a hospital authorizing providers to practice specific kinds of medicine and carry out procedures accordingly on the premises of the facility. As opposed to this, the credentialing process involves regulating and checking the licenses and certificates of the medical providers. The goal here is to check whether the credentials are in good standing or not, and evaluate if the medical practitioner is licensed to practice in the health care facility.
A credentialed provider in the healthcare sector is someone who has been vetted by insurance companies or networks with all background information along with verification of the required credentials that enables the provider to offer a specific healthcare service in the industry.