Wave your wand at Insurance chaos. Watch the payments appear.
🏛️ Strategic Paneling & Credentialing Mastery
Most insurance companies make it hard to join their network, and some, like Medicare or Tricare, even make billing as an out-of-network provider difficult.
We will set up a call to understand your needs and guide you through the steps to get you or your company properly paneled or re-paneled. We’ll update all necessary information and make sure you have copies of all documents. If you’re new to this process, we’ll also review your CAQH and NPPES to ensure all your records match.
The Critical Maintenance:
We manage the ongoing administrative burdens to keep your status active. You will need to re-attest your profile with insurance companies either monthly or quarterly, and platforms like CAQH and Availity have their own specific attestation requirements (e.g., CAQH requires re-attestation every 120 days). Furthermore, full recredentialing with insurers is required every two, three, or five years, depending on your specific state and the payer's rules. We ensure you never miss these critical deadlines that can lead to claim rejections or profile inactivation.
🏛️ 02 — Strategic Paneling: In-Network vs. Out-of-Network & Ongoing Maintenance
Most insurance companies make it hard to join their network. Some, like Medicare or Tricare, even make billing as an out-of-network provider difficult.
We will set up a call to understand your needs and guide you through the steps to get you or your company properly paneled or re-paneled. We’ll update all necessary information and make sure you have copies of all documents. If you’re new to this process, we’ll also review your CAQH and NPPES to ensure all your records match.
Comprehensive Insight for New Providers:
For providers new to insurance, we offer essential guidance on evaluating carrier reimbursement rates and what each network may offer you. This includes giving you the insight needed for audit-friendly documentation for both in-network and out-of-network compensation, ensuring you stay in good standing with every payer.
The Critical Maintenance & Support:
We manage the ongoing administrative burdens to keep your status active.
Attestation: You will need to re-attest your profile with insurance companies either monthly or quarterly, and platforms like CAQH and Availity have different requirements for attesting.
Recredentialing: Full recredentialing with insurers is required every two, three, or five years, depending on your specific state and the payer's rules.
We also assist with billing, coding, and Electronic Management Records (EMR) system set up and monthly maintenance to provide a complete, hassle-free revenue cycle solution.
“Rachael trained me how to code for sessions I thought that I would never get paid for and credentialled me with 6 new insurance companies.”
C.H.
“Rachael helped me find a ton of billing opportunities I never knew existed. My profits grew almost 40%.”
D. L.