Services

Everything you need to get credentialed, start billing, and launch your practice with confidence.

Core Service

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.

CAQH ProView Setup & Maintenance

We create and maintain your CAQH profile—the universal credentialing application most payers require.

Medicare & Medicaid Enrollment

PECOS enrollment for Medicare, state Medicaid applications, and ongoing revalidation management.

Commercial Payer Applications

We submit and track applications with Aetna, BCBS, United, Cigna, and regional payers in your area.

Hospital Privileging Support

Credential applications and privileging documentation for hospital affiliations.

Learn More About Credentialing

Typical Credentialing Timeline

Week 1-2
Document collection & CAQH
Week 2-4
Application submissions
Week 4-8
Payer review & follow-up
Week 6-12
Approvals & contract execution

* Timelines vary by payer. Medicare typically 30-45 days; commercial payers 60-90 days.

Revenue Cycle Setup Checklist

NPI Type 1 & Type 2 registration
Tax ID (EIN) acquisition
Clearinghouse enrollment
ERA/EFT setup for electronic payments
Practice management system configuration
Fee schedule optimization
Superbill & charge capture setup
Revenue Foundation

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.

Practice Management Selection

We help you choose the right PM/EHR system for your specialty and workflow.

Clearinghouse & Payment Setup

Electronic claims submission and payment posting configured correctly.

Denial Prevention Training

Common billing errors that cause claim denials and how to avoid them.

Learn More About Billing Setup
Risk Prevention

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.

HIPAA Compliance Program

Policies, procedures, risk assessments, and staff training for Privacy and Security Rules.

EHR Implementation

Selection, implementation, and workflow optimization for your electronic health records.

Documentation Templates

Specialty-specific note templates that meet payer documentation requirements.

Ongoing Compliance Monitoring

Regular audits, updates for regulatory changes, and license expiration tracking.

Learn More About Compliance

Common Compliance Mistakes We Help You Avoid

Billing before credentialed

Can result in denied claims and repayment demands

Incomplete HIPAA documentation

Fines up to $50,000 per violation

Expired DEA or state license

Can halt your ability to practice and bill

Inadequate documentation

Leading cause of audit clawbacks

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 technology
Real-time
Verification
3
State Boards
NPPES
NPI Registry
OIG
LEIE Screening

Ready to Get Started?

Every practice is different. Let's discuss your specific needs and create a plan that works for you.