Credentialing Serivce

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Streamlined Provider Enrollment and Credentialing Process

Verifying a provider’s credentials to ensure they are qualified to care for patients is known as credentialing. Most health insurance providers require this procedure, including CMS/Medicare, Medicaid, and commercial insurers. With the help of Franklin Med Billing’s services, we can help you enroll as a provider and join a provider network so that you may get paid by each carrier.

Become an in-network provider with the insurance companies you wish to deal with the help of our credentialing team’s skilled and thorough service. If you require recommendations, we may analyze your specialty and service area.

We Save Time and Energy

Your time can be better spent concentrating on delivering high-quality patient care because our qualified team can manage your credentialing procedure. Our team can handle the paperwork, follow up with insurance companies and credentialing organizations, and ensure all necessary documentation is in place.

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We Help You Build a Better Reputation

Up-to-date and accurate credentials help build trust and confidence with patients and other healthcare providers. Our expert team can guide and support you throughout credentialing, helping you navigate complex regulations and requirements.

Our Services Fit Practices of All Sizes and Specialties.

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Credentialing and re-credentialing

We handle initial and ongoing credentialing to ensure uninterrupted enrollment.

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Profile setup

We set up and maintain profiles for quick credentialing.

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Application tracking

We monitor your credentialing application and provide timely status updates.

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Payer contract negotiation support

We assist in negotiating contracts with payers to ensure terms.

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Ongoing compliance management

We always ensure regulatory requirements and payer credentialing standards.

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We Believe in Transparency

Ongoing Recredentialing Support

You may simplify the credentialing process and comply with our provider credentialing services. You require our provider credentialing services for ongoing support that minimizes the risk of disruptions to your provider’s ability to bill for services and receive payments.

Compliance with Industry Standards

We ensure your practice and providers comply with all necessary federal, state, and payer-specific regulations. Partnering with us for your provider credentialing needs can enhance your reputation in the industry.

BENEFITS OF WORKING WITH US

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Transparent Reporting

You’ll receive regular, easy-to-read financial reports, along with insights to help improve billing.

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Faster Payments

We submit claims promptly, helping you get paid faster and maintain steady cash flow.

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Fewer Denials

Accurate coding and verification reduce claim errors, lowering denials and speeding up reimbursements.

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Less Admin Work

We handle billing tasks so your team can focus fully on patient care.

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Improved Accuracy

Thorough data checks and precise coding ensure clean claims and accurate financial reporting.

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Real-Time Tracking

Track every claim in real-time and receive regular updates on status and payments.

Process for Medical Billing and Revenue Cycle Management

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Step 1: Assessment and Onboarding

We begin by reviewing practice’s current billing process. After onboarding, we align our services with your goals.

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Step 2: Claims Submission and Management

Our team submits your claims using the latest ICD/CPT codes and ensures everything is accurate, reducing errors.

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Step 3: Follow-Up and Denial Management

We actively follow up on unpaid or denied claims, resubmit rejected claims, and work towards maximizing reimbursement.

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Step 4: Ongoing Support and Reporting

We provide support, keeping you updated on practice’s financial status and ensuring your revenue cycle runs smoothly.

Provider Credentialing FAQ’s

What is provider credentialing?
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It’s the process of verifying a provider’s qualifications and enrolling them with insurers.

Do you handle both initial and re-credentialing?
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Yes, we manage both initial credentialing and ongoing re-credentialing.

How long does the credentialing process take?
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Credentialing typically takes 30-90 days depending on the payer and provider.

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Come To Us for Guaranteed Services

For your technical provider credentialing services, remember us. We will make the process straightforward for you. Come to us, and we will have a quick discussion!

Let 's Get Started
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(210) 791-3222