Provider Credentialing Services
Optimize your practice with Complete Solutions Revenue—your trusted partner for simplifying healthcare credentialing.
Ready to Transform Your Practice?
Credentialing can be a complex and time-consuming process, but at Complete Solutions Revenue, we streamline Payer Enrollment Services, saving you valuable time and allowing your team to focus on what truly matters—providing excellent patient care. With our expert-led, centralized process, we help eliminate the stress and bottlenecks associated with credentialing. Our efficient approach enables your practice to:
Accelerate Revenue
Our streamlined processes help you start generating revenue more quickly, reducing the waiting time for reimbursements.
Save Time
We take care of all the paperwork and administrative tasks, freeing up your staff to dedicate more time to patient care and less time on non-clinical tasks.
Reduce Stress
The credentialing process can be overwhelming. Let our experienced team handle the complexity and ensure everything is in compliance with minimal disruption to your practice’s daily operations.
Get Your Credentialing Guide
Gain a deeper understanding of medical credentialing by downloading our comprehensive guide. Equip yourself with the knowledge needed to navigate the intricacies of credentialing, improve operational efficiency, and enhance patient care outcomes.
Our Comprehensive Suite of Medical Credentialing Services
Government Program Enrollment
- Medicare and Medicaid Provider Enrollment: We ensure your practice is fully enrolled in Medicare and Medicaid, giving you access to a wide range of patients and government programs.
- Medicare DMEPOS Enrollment: If you offer durable medical equipment, prosthetics, orthotics, or supplies (DMEPOS), we provide specialized enrollment support for these programs, ensuring compliance and streamlined operations.
Commercial Insurance Credentialing
- We seamlessly integrate your practice with major insurance payers, ensuring that you’re recognized by the providers most relevant to your patient base.
- Our expert team supports you through contract negotiations, ensuring you secure favorable terms and maximize your reimbursement rates.
Essential Registrations
- NPI Registration: Whether you’re an individual provider (Type I) or an organization (Type II), we handle your National Provider Identifier (NPI) registration and management, ensuring your information is accurately maintained.
- CAQH Profile Management: We assist in creating and maintaining your Council for Affordable Quality Healthcare (CAQH) profile, which is essential for smooth interactions with health plans.
- PECOS Management: We oversee your Medicare Provider Enrollment, Chain, and Ownership System (PECOS) portal, making sure your practice is properly enrolled and compliant.
Licensing and Certification
- State License Applications & Renewals: We ensure your practice complies with state-specific regulations and streamline the process of applying and renewing licenses.
- DEA Certificate Processing: We handle the application process for your U.S. Drug Enforcement Administration (DEA) certificate, allowing healthcare providers to prescribe and manage controlled substances.
- CLIA Registration: We guide you through the process of registering with the Clinical Laboratory Improvement Amendments (CLIA), ensuring your practice meets federal standards for laboratory testing.
Hospital Privileges
We facilitate the application process for hospital privileges, expanding your ability to serve a broader patient population and providing greater flexibility in your practice.
Ongoing Support
Revalidation and Re-credentialing: We manage re-validation processes to ensure your practice remains in good standing with payers.
Reimbursement Issue Audits: Our team audits your reimbursement processes, identifying and resolving any issues that may affect your revenue cycle.
NCQA Compliance: We ensure compliance with the National Committee for Quality Assurance (NCQA) standards, supporting the ongoing quality of your healthcare services.
The Complete Solutions Revenue Advantage
- Dedicated Experts
Our team of credentialing experts is equipped with the knowledge and resources to handle all paperwork, follow-ups, and compliance issues, ensuring data integrity and efficient processing.
- Comprehensive Support
From information gathering to submission, follow-ups, and communications with payers, we provide end-to-end support, ensuring a smooth and hassle-free process.
- Personalized Attention
You’ll receive personalized attention from a dedicated project manager, guiding you through every step of the credentialing process.
- Time-Efficient
We reduce the credentialing process from months to just weeks, helping you start seeing patients and generating revenue faster. - 24/7 Access
With our online platform, you can monitor the status of your applications and stay updated at anytime, anywhere. - Growth Catalyst
With broader network participation and the ability to accept more patients, credentialing with Complete Solutions Revenue helps your practice grow and thrive in today’s competitive healthcare landscape.
FAQs About Medical Credentialing Services
At Complete Solutions Revenue, we provide superior medical credentialing services. Reach out to us to learn more and get answers to your frequently asked questions about the credentialing process. Let us help you navigate the complexities and accelerate the growth of your practice.