Billing Care Solutions is an advanced Medical Billing services provider in the United States. We offer the highest quality of medical billing Solutions, Provider Enrollment and Credentialing and Practice Management Services and software to solo physicians, physician groups, independent medical and non-medical groups, small medical practices, hospitals, pharmacies, laboratories, medical clinics and other healthcare facilities.
We provide Medical Billing and Credentialing Services to the full range of behavioral, dental and medical specialties, including Physiotherapy, Orthopedic, Dermatology, Neurology, Psychology, Cardiology, Oncology, family practice, Internal medicine, Allergy and Immunology, Neonatology, Pathology, Urology, Endocrinology, Gynecology and more.
Provider Enrollment and Credentialing Services
In the absence of proper medical credentialing, the healthcare providers (hospital, physician office, dental practice, or surgery center and more) cannot work in any place and cannot partner with health insurance legally. As a result, reimbursement for medical services can also be denied or delayed and facility will have to face loss in revenues. Medical Credentialing is very crucial for both the patient and the healthcare providers because it ensures that service providers are competent to do the best and possible standers job.
Do you want to give your patients the best care possible and the credibility of your business does not put your patients at risk?
Billing Care Solutions credentialing processes offer organizational efficiency by reducing the burden on all stakeholders and positively impacting quality. We always ensure real-time credentialing requirements and assist our client’s inquiries about credentialing matters for each specialty, (Medical, Dental, Behavioral Health etc.).
We evaluate through qualifications examining, reviewing and verifying that a candidate’s professional licenses or certifications, specialty certificates, education, work experience, competence, and malpractice and other variables are in compliance with credentialing guidelines and standards implemented by the National Committee for Quality Assurance (NCQA).
Credentialing Requirements
Credentialing requirements vary state to state, county, and populations even medical facilities and insurance carriers. The major credentialing requirements include education and training, Hospital affiliation, State license(s), DEA license, Provider enrollment application, Board certification, Malpractice insurance certificate, Sanctions disclosure, Criminal background disclosure, Background Screening, Military service and IRS- Letter.
The departments for Verification are National Practitioner Data Bank (NPDB), American Board of Medical Specialties (ABMS), American Association of Nurse Practitioners (AANP) / American Nurses Credentialing Canter (ANCC) and Student Clearing House.
We aim to
- Increases Physician and Patient Trust
- Improve reimbursement and prevents lost revenue
- Reduces error risk factors
- Improves reputation and credibility
- Protects against potential lawsuits
- Understand State Regulations
- Assign a Credentialing specialist
- Maintain credentialing tracking grids
- Weekly application follows up
- Fulfil expectations of business needs