Amersons Healthcare Solutions

Streamline Your Credentialing Process with Ease

Credentialing can often be a complex and time-consuming endeavor, but at Amersons Healthcare Solutions, we are here to simplify it for you. Our experienced team handles every phase of the process, from verifying eligibility to completing and submitting applications, ensuring a smooth and efficient experience.

Our services cover provider enrollment for both group and individual practices. We cater to all specialties and assist with enrollment in all major insurance networks, including Medicare, Medicaid, and commercial insurers. Regardless of the size or specialty of your practice, our tailored credentialing solutions are designed to meet your needs and help you focus on what matters most—delivering quality patient care.

Our Medical Credentialing Process

A Walkthrough of Our Specialist-Vetted Provider Credentialing Process

BellMedEx’s provider credentialing process is not just a routine procedure, but a validated and certified process that ensures the highest standards of compliance. We have achieved up to 98% success rate of getting providers approved in premium payer networks with maximum privileges in their specific specialties. The process typically includes the following steps:

Surveying the provider

Our credentialing process begins with an in-depth survey conducted by our credentialing specialists. This process involves comprehensive interviews with providers, gathering essential data such as license numbers, educational history, demographics, and professional background.

Choosing the insurance company

Our medical credentialing services guide providers in strategically choosing insurance partners aligned with their practice goals and license type, while also finalizing insurance panels based on practice location.

CAQH Enrollment and Management

We take care of CAQH application submissions, manage ProView accounts, and keep credentials current for smooth primary source verification. We also assist with payer credentialing submissions, ensuring quick insurance panel integration and accurate profiles that enhance network engagement and the quality of patient care.

Ensure Fast Credentialing Approval

Although the typical timeline is 60-120 days, our provider credentialing experts take proactive steps to accelerate the process. Our team engages in weekly interactions with payers, advocating for the rapid processing and endorsement of your credentialing applications.

In-Network Enrollment

Upon completing credentialing, your application enters the contract phase. Here, an in-network contract may be offered, including fee schedules and eligible CPT billing codes. We handle closed panel challenges, advocating through appeals to secure your inclusion. With successful credentialing, direct billing becomes feasible, often with preferred reimbursement rates for in-network providers.

Winning you Hospital Privileges Application

As credentialing wraps up, our active involvement persists. We assist you in gaining all necessary hospital privileges: whether it’s admitting, courtesy, or surgical rights.

Ongoing Monitoring and Updates

Our continuous oversight ensures that your company’s credentials remain current and that you stay credentialed without interruption. Our experts diligently track your credentialing expirations and conduct comprehensive daily and weekly reviews to maintain your active status. You can rest easy knowing that your credentials are in good hands with us.

Expertise and Support You Can Trust

At Amersons, we take pride in providing our clients with the highest level of expertise and support. Our team of billing experts has years of experience in the healthcare industry, and we are committed to staying up-to-date with the latest billing codes and regulations. When you partner with us for your medical billing needs, you can trust that you will receive reliable and professional support every step of the way.

At Amersons, we are committed to providing the highest level of service to our clients. Contact us today to learn more about our medical billing services and how we can help your healthcare practice thrive.

Optimize Your Practice with Expert Credentialing and Contracting Services

At Amersons Medical Billing Services, we know that effective credentialing and contracting are the cornerstones of a thriving healthcare practice. That’s why we offer comprehensive solutions to streamline these processes for healthcare providers and facilities. Our credentialing services ensure you meet payer requirements, enhancing your credibility and allowing seamless participation in major insurance networks. Coupled with our contracting expertise, we help you negotiate favorable agreements, maximize reimbursement rates, and expand your patient base. Partner with us to unlock new revenue opportunities, strengthen your reputation, and improve patient satisfaction. Contact us today to learn more about how we can support your practice’s success.

Frequently Asked Questions

Answers to the most frequently asked questions.

How does credentialing differ from privileging?

Credentialing and privileging are related but distinct processes. Credentialing involves verifying the qualifications and background of healthcare professionals or providers, while privileging refers to granting specific clinical privileges to a healthcare professional within a specific healthcare facility or organization.
How often should I update my credentials with Amersons Healthcare Solutions?

It is important to keep your credentials updated with Amersons Healthcare Solutions. You should promptly notify Amersons Healthcare Solutions of any changes to your licenses, certifications, contact information, malpractice history, or other relevant details. This ensures that your credentials remain current and accurate.
Does Amersons Healthcare Solutions offer any resources or guidance for maintaining ongoing compliance with credentialing standards?

Yes, Amersons Healthcare Solutions may provide resources, guidelines, or educational materials to help healthcare professionals or providers maintain ongoing compliance with credentialing standards. These resources can assist in staying updated with any regulatory changes, best practices, or requirements for maintaining active and valid credentials.
Does Amersons Healthcare Solutions offer assistance for international healthcare professionals seeking credentialing?

Yes, Amersons Healthcare Solutions recognizes the valuable contributions of international healthcare professionals and offers support for their credentialing process. Amersons may provide guidance on equivalency evaluations, visa requirements, language proficiency assessments, and other necessary steps to facilitate the credentialing of international healthcare professionals.
Can I provide services outside of the scope of my credentialing with Amersons Healthcare Solutions?

It is crucial to provide services within the scope of your credentialing with Amersons Healthcare Solutions to maintain compliance with regulatory requirements. If you wish to expand your services or practice in additional areas, you should contact the Amersons Healthcare Solutions credentialing department to discuss the necessary steps for obtaining additional credentials or privileges.