Services
Everything you need to get credentialed, start billing, and launch your practice with confidence.
Credentialing & Insurance Paneling
Getting credentialed with insurance companies is the #1 bottleneck for new practices. We take this entirely off your plate, from initial applications through final approval.
We create and maintain your CAQH profile, the universal credentialing application most payers require.
PECOS enrollment for Medicare, state Medicaid applications, and ongoing revalidation management.
We submit and track applications with Aetna, BCBS, United, Cigna, and regional payers in your area.
Credential applications and privileging documentation for hospital affiliations.
Typical Credentialing Timeline
* Timelines vary by payer. Medicare typically 30-45 days; commercial payers 60-90 days.
Revenue Cycle Setup Checklist
Billing Setup & Revenue Cycle
The difference between a struggling practice and a thriving one often comes down to revenue cycle infrastructure. We set up your billing systems correctly from day one.
We help you choose the right PM/EHR system for your specialty and workflow.
Electronic claims submission and payment posting configured correctly.
Common billing errors that cause claim denials and how to avoid them.
Compliance & Practice Launch
Healthcare is heavily regulated. From HIPAA to OSHA to state-specific requirements, we ensure you're compliant from day one, avoiding costly penalties and audit headaches.
Policies, procedures, risk assessments, and staff training for Privacy and Security Rules.
Selection, implementation, and workflow optimization for your electronic health records.
Specialty-specific note templates that meet payer documentation requirements.
Regular audits, updates for regulatory changes, and license expiration tracking.
Common Compliance Mistakes We Help You Avoid
Can result in denied claims and repayment demands
Fines up to $50,000 per violation
Can halt your ability to practice and bill
Leading cause of audit clawbacks
Interoperability & EHR Data Integration
Healthcare data lives in silos, and the cost of moving it lands on your staff. We engineer custom interoperability solutions that import, transform, and deliver data between Epic, other EHRs, and the systems you run your organization on. We select the pathway that fits your infrastructure and demonstrate a working build in seven days.
Demographics, encounters, clinical documents, and operational data, mapped and moving.
Standards-based interoperability layers built to ONC certification-ready standards.
One-time migrations and ongoing synchronization that keep your systems in step.
Connect EHRs, clearinghouses, state registries, HRIS, and accounting systems.
Encryption, audit trails, and role-based access on every build.
Conversion Pathways We Build
Powered by Credentialed™
Our proprietary platform automates primary source verification, checking NPI, OIG exclusions, and state medical boards in real-time. This means faster credentialing and continuous compliance monitoring.
Learn about our technologyReady to Get Started?
Every practice is different. Let's discuss your specific needs and create a plan that works for you.