Outsource Physician Credentialing Services
Navigate bureaucratic hurdles and accelerate provider enrollment with our physician credentialing services.
Is your medical establishment or physician clinic entrapped in the complex, time-intensive, but crucial process of physician credentialing? Confirming qualifications, tracking renewals, and sustaining compliance can shift your concentration from your primary mission – delivering superior healthcare. Experience operational relief by delegating this administrative onus, while simultaneously ensuring a flawless credentialing process.
Drawing from the 20-year legacy of quality and reliability, our physician credentialing company excels in providing comprehensive physician credentialing services. Our proficiency lies in mitigating the bureaucratic hurdles intrinsic to credentialing, allowing you to concentrate on the crux of your profession – patient care. Collaborating with us gives you access to our dedicated team of professionals proficient in managing and refining your credentialing process. From data collection, verification, and privileging to continuous monitoring, we manage it all.
Mitigate risks, save time and resources, and uphold compliance to ensure smooth provider enrolment with our physician insurance credentialing services.
Client Success Stories
Provided patient Demographics and Charge Entry to A top US Medical Billing Company
Our team handled the complete medical billing process for a large medical billing company based in the US, improving productivity by 30% with error rates below 2%. We processed 150 files a month with an error rate of just 2%.
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Provided Research and DME Billing Services to a US client
Our client had successfully negotiated with other insurers surrounding EndoPAT coverage based on the research data extracted by O2I on DME products.
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Clients Speak
The quality of your work is outstanding. Seems the people you have on our tasks are knowledgeable about the process and are doing a good job of following through on things.
Manager, Medical Billing Company, Colorado
Physician Consulting Support We Offer
Driven by a team of seasoned professionals and equipped with cutting-edge technology, we stand at the forefront of medical billing credentialing services. We recognize the critical role that precise credentialing plays in safeguarding patient safety and maintaining the integrity of healthcare institutions. Our proven track record and robust capabilities position us as a trusted partner in various types of credentialing including physical therapy credentialing services.
Discover the diverse range of physician credentialing services we offer.
Initial Credentialing Services
We meticulously collate and verify each physician's qualifications, ensuring they have the necessary certifications and licenses, and meet your institution's specific requirements. Utilizing cutting-edge technology and our team's expertise in data analysis and compliance, we provide an accurate and efficient initiation into the credentialing process.
Re-credentialing Services
Our credentialing company for physicians guarantees that your medical staff continuously meet the necessary qualifications and standards. With a blend of advanced tracking technology and our team's keen attention to detail, we ensure your staff's credentials remain up-to-date, maintaining optimal patient safety and your institution's reputation.
Privileging Services
We assist with the process of authorizing the experience in patient care and the specific scope of healthcare practitioners. This includes liaising with the governing bodies, medical staff, and all the parties involved.
Payer Enrollment Services
Our payer enrollment services ensure the seamless integration of physicians into insurance networks, leveraging our team's expertise in healthcare regulations and insurance protocols. We handle the entire process, from application preparation to submission and follow-up. Establishing this facilitates quicker reimbursements and improves your revenue cycle.
Credentialing Verification Services
We offer meticulous credentialing verification services, where each credential is verified against recognized sources. Our team, equipped with a keen eye for detail and an understanding of regulatory standards, ensures the accuracy and compliance of each physician's credentials.
Maintenance of Provider Credentialing Files
Our support does not end with credentialing. We ensure your records are always current, organized, and readily accessible. We help you secure, update, and maintain easily retrievable credentialing information by leveraging cloud-based technology and our team's proficiency in data management.
Monitoring Services
Our monitoring services provide continuous oversight of each physician's credentials, utilizing real-time tracking technology and our team's vigilance in regulatory compliance. We promptly identify and address any potential issues, ensuring uninterrupted compliance and mitigating risks.
In addition to the aforementioned services, we also provide support with -
O2I's Physician Credentialing Services Process
We follow a streamlined physician credentialing service process in order to acquire exemplary results -
Collect and evaluate the necessary application data with requisite documents and certificates from Payers
Formulate a unique credentialing strategy that selects top Payers that receive the claims of physicians
Retain, update, and audit the filed application, relying on Provider information directly with carriers when needed
Track and follow-up with insurance carriers regularly to ensure real-time status of the application
Receive Enrollment number from insurance carriers and brief physicians
Complete routine checks of expiration dates for NYS-registration, DEAs, MA registrations and CLIA registration to ensure faster re-applications and manage re-credentialing when required
Additional Services You Can Benefit From
Medical Transcription Services
Convert medical reports and consultations into written documents with our precision-driven medical transcription services.
Revenue Cycle Management Services
Minimize administrative tasks, maximize revenue, and establish a robust financial infrastructure with our end-to-end revenue cycle management services.
Claims Adjudication Services
Expedite your insurance claim procedures, ensuring swift and precise claim resolutions with our adept claims adjudication services.
Teleradiology Services
Enhance patient care by enabling immediate access to expert radiologists, regardless of location, with our state-of-the-art teleradiology services.
Medical Billing Services
Streamline your revenue cycle to reduce administrative overhead and enhance cash flow with our comprehensive medical billing services.
Medical Coding Services
Ensure accurate coding for all medical procedures, improving compliance and minimizing claim denials with our medical coding services.
Outsource Physician Credentialing Services
As an experienced credentialing company serving physicians and healthcare providers, our expertise spans all facets of credentialing, including meticulous data collection, rigorous verification, targeted privileging, and ongoing monitoring. Such understanding of the intricacies involved in this process enables us to provide you with an unparalleled level of precision, punctuality, and compliance, ensuring your healthcare establishment is always equipped with the most qualified professionals.
We use advanced technological frameworks that seamlessly integrate with your existing systems, providing an efficient and transparent approach to credentialing. This upholds stringent standards, mitigates risks and ensures your institution remains compliant with all the regulatory requirements. By entrusting us with your physician credentialing, you are investing in a partnership that enhances operational efficiency and safeguards patient care.
Partner with us to streamline your physician credentialing process and unburden your administrative workload.
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Princeton, NJ 08540
Key Differentiators
Software At O2I Healthcare
Specialties HIPAA Compliance HIPAA 5010
Standards Compliance CPT Coding
Compliance Healthcare
Processes Medical
Billing Process Charge
Entry Process Medical
Coding Process Medical
Claims Process FAQs on Medical Accounts
Receivable Services FAQs on Outsourcing
Claims Adjudication Services Medical
Transcription Process HL7 ICD-10 Compliance
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Outsource2india Assisted a Florida-based Medical Billing Company with ICD-10 Implementation
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Outsource2india Helped a Medical Imaging Firm with Quick Teleradiology Services
Frequently Asked Questions (FAQs)
Why does physician credentialing hold such importance?
Credentialing is vital as it validates a physician's qualifications, promoting patient safety and enhancing the credibility of healthcare organizations.
How much time is usually required to complete the credentialing process?
Typically, the credentialing process can take anywhere from three to four months, depending on factors such as the promptness of document provision and verification.
How regularly should physicians undergo re-credentialing?
Re-credentialing of physicians is usually conducted every 24 to 36 months to ensure continuous compliance and proficiency in the ever-evolving medical field.
What occurs if a physician fails to receive proper credentialing?
A physician without appropriate credentials compromises patient safety, faces legal consequences, and damages the healthcare provider's reputation, possibly leading to monetary fines.
What criteria should be used to select a physician credentialing service provider?
Key factors to consider when choosing a credentialing service include their experience, success rate, technological capabilities, adherence to compliance, and client feedback.
What are the financial implications when you outsource credentialing services?
The financial implication of outsourcing physician credentialing varies based on the scope and sophistication of the services needed, but it often proves more economical than internal operations.