Healthcare Revenue Cycle Management | Credentialing Services

FAQs

We strive to prevent delays, but unforeseen circumstances may occur. Our team maintains regular follow-ups with payers, providing real-time updates and expediting processing to secure the best possible outcome.

RevGroMD, a veteran Revenue Cycle Firm, can address backlogged claims and AR. We offer RCM consulting, allowing your internal team to handle complicated denials while we manage backlogs as special projects on a consultancy basis.

Certainly. RevGroMD is familiar with application rejections due to small mistakes. We review and correct errors in every application, ensuring timely resolution and resubmission.

We handle a range of Provider Enrollment needs, including Initial Enrollment for New Providers, Re-credentialing & Re-validation, Relocation & Demographic changes, Merger & Acquisition On-boarding, Rural Healthcare Enrollment, and Organizational/Institutional Provider Enrollment Management and Consulting Services.

Cost depends on your specific requirements. To begin, request a quote by speaking to our experts. We’ll connect you to our Enrollment consultant, who will handle your applications from start to finish, keeping you updated at every step.

Provider Enrollment is the process through which healthcare providers affiliate with insurance networks/payers. It’s essential as it allows providers to be reimbursed for services provided to covered patients, ensuring billing and payments.

If denied, RevGroMD works with the provider to identify reasons and develop a plan. Providers may need to reapply or replace with another payer, especially when a panel is closed for new enrollments in their specialty.

The process duration varies based on location, specialty, and the enrolling payer, generally taking several weeks to months, potentially 60 to 120 days or longer if payers are backlogged.

Yes, we provide ongoing support, assisting with billing, credentialing, and other administrative tasks.

RevGroMD ensures providers stay current by providing regular updates and guidance on industry changes, ensuring compliance and quick turnarounds.

Benefits include time and resource savings, reduced administrative burden, accurate and timely enrollment, and increased chances of successful enrollment.

Cost varies based on provider needs, volume, and enrolling payers. Contact RevGroMD for detailed pricing information.

Yes, providers can enroll with multiple plans simultaneously. RevGroMD assists in navigating the complex process, ensuring accurate and timely submission to multiple payers.

RevGroMD helps identify alternative options, such as joining other networks, participating in government programs, or assisting providers in enrolling as out-of-network providers.

Required documents vary by payer and specialty but generally include professional licenses, malpractice insurance, NPI, and supporting documentation. RevGroMD offers extensive support to help providers prepare for the enrollment process.

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