Eliminate the time and hassle of provider credentialing for new physicians and staff.
Choose our quick and easy credentialing process so you get paid faster.
RCM services - provider credentialing.
What you can expect from our Provider Credentialing services.
Quick and complete enrollment and credentialing to maximize reimbursements for your practice.
Fast Enrollment
Quickly set up all providers in Medicare, Medicaid, and commercial health insurance plans to ensure maximum reimbursement.
Accurate
Ensures providers have all required documentation and information to streamline the process.
Renew License
Track license expiration date and coordinate renewal. Track and coordinate Medicare and Medicaid re-validation.
No Hassle
Provide a detailed checklist of required documentation. Complete the forms, attach documentation, and submit after the provider signs.
Our Provider Credentialing Services increase cash flow.
Get paid faster.
We specialize in the highly detailed process of coordinating provider credentials to ensure quick and complete enrollment for the maximum claim reimbursement.
Our credentialing services can include:
Applying for a National Provider Identifier (NPI)
Completing your CAQH profile
Initial set-up with payers—both government and commercial
Track license expiration date and coordinate renewal
Medicare or Medicaid re-validation
Accurate.
A timely and successful revenue cycle begins with enrollment in Medicare, Medicaid, and commercial health insurance plans. Our process accelerates enrollment by coordinating the provider credentialing and ensuring proper set-up for each medical specialty.
Complete.
Pinnacle Healthcare Revenue Solutions tracks and manages the credentialing process. A customized enrollment and credentialing plan for all government and contracted commercial plans are created for each provider. The plan includes the required forms to be completed, by whom, and their due date - so no step is missed.
Easy.
We provide your team with a list of the required information needed to enroll and the required supporting documentation. We complete the forms, attach the required documentation, and after obtaining the provider’s signature - we submit the application.
Get started today.
Let’s start a conversation and see how revenue cycle management (RCM) services can help increase your practice’s value.
See how our RCM services will impact your practice.
Accelerate your success.
A partnership with Pinnacle Healthcare Revenue Solutions can take many forms. It may be full-service Revenue Cycle Management or a stand-alone option for specific revenue cycle functions to augment your current operations.
We provide the right resource at the right time - throughout the lifespan of your practice. Let our team of experts build a solution that fits your goals and delivers results.
AR & Denial Management
Collections, coordinate payments between patient and insurance provider, instantly provide requested information, track & manage all denials and recover lost revenue using strategies and processes to get a claim paid.
Healthcare Analytics
A reporting suite is outlined based on your practice’s objectives. Basic industry-recognized KPIs, partner and provider performance reports, dashboards, and other critical reports are provided to manage your practice effectively.
Medical Billing/Coding
Our specialists improve reimbursement time and total value through processes such as fee schedule reviews, managed care contract pricing, chart review, accurate charge capture, and filing a claim.
Practice Management
We align your practice goals with successful business strategies like financial performance reviews and determine issues based on KPIs, revenue diversification, bench-marking, and optimization of workflows.