Revenue cycle management for medical practices (214) 702-1062  |  Contact us
IHSInnovative Healthcare Solutions

Physician Credentialing

Credentialed providers can start billing without delay.

We work with payor and provider organizations, including academic medical centers, health systems, hospital-employed groups, and large group practices across the United States. Credentialing protects your revenue by getting providers enrolled and billing sooner.

Initial credentialing and re-credentialing

  • Primary source documents collected on site or through a secure scanning system
  • Data entered into a credentialing workflow platform
  • Par and non-par analysis by payer
  • Applications reviewed for missing elements, with application and signature pages consolidated
  • Tracked mailing by UPS, FedEx, or certified mail
  • Payer follow-up and escalation
  • Reporting at each stage of the credentialing lifecycle
  • Provider Identification Numbers compiled for billing system entry

Expirables management

  • Monitoring of licenses, DEA registrations, and board certifications
  • Ongoing CAQH re-attestations
  • Expiring-document reports for advance notice
  • Response to provider enrollment billing issues and edits

Delegated credentialing

  • Roster maintenance for delegated payers
  • Weekly or monthly roster submissions

Special projects

  • Medicare revalidation
  • Group contract creation and enrollment
  • TIN consolidation and enrollment
  • Review of payer websites to confirm provider data is listed correctly

Get a free Denial & AR Review

We will review your denials and accounts receivable and show you where revenue is slipping away. No obligation.

Request your free review   Call (214) 702-1062

Ready to find out more?

Complete the form and a member of our Business Development team will get back to you.

Address
7214 S State Hwy 78, Ste 28
Sachse, TX 75048

Phone
(214) 702-1062

Please do not include patient information (names, dates of birth, member IDs, or other health details) in this form. Email is not a secure channel for protected health information.