PROVIDER CREDENTIALING & ENROLLMENT YOUR CREDENTIALS ARE OUR PRIORITY!
Credentialing marks the initial stride towards initiating medical insurance billing and revenue generation. At Pathway GMS, we recognize that Provider Enrollment can be a cumbersome process, but it doesn’t have to be. Our dedicated Provider Enrollment Specialists are at your service, ready to streamline the enrollment journey for you!
With our on time, accurate enrollment process, you’ll be accepting payments from Government and Private Insurance payers in no time. Or enrollment process is designed to automate the process of onboarding new providers and keep a steady flow of revenue for your practice.
* Malpractice claims history (suspensions, revocations)
* License to practice and primary source verification
* W-9 (Complete with signature and date)
* NPI number
* License history
* DEA license
* Work history
* Degrees and transcripts
* References from previous employers/practitioners
* Insurance information
* Board certification
YOUR CREDENTIALS OURE PRIORITY
ARE YOU ENROLLING WITH ELECTRONICS PAYMENTS SOLUTION?
We’ll enroll you and/or your practice with EMR/EHR Software services for your payers, speeding up the communication and payment process
MEDICAL CREDENTIALING
We go beyond just healthcare revenue cycle management; we also specialize in provider credentialing and enrollment services. With firsthand experience, we understand the direct impact that provider credentialing has on cash flow for your medical practice. Our expert team is equipped to analyze your current credentialing processes, automate them, and deliver precise reports, allowing you to shift your focus to quality patient care instead of credentialing requirements.
Pathway GMS offers comprehensive services, including insurance payer contracting, provider enrollment, primary source verification, and privileging, ensuring a seamless experience for your practice.
CUSTOMIZED FINANCIAL REPORTING
Pathwayhms gives in-depth, analytics that provide complete transparency into the financial health of your practice or multi-location medical group. Our reports help providers and administrators report benchmarks, financials, relative value units, outcomes, and forecast easily in real time. We sit all your practice’s financial data into your lap with one simple, easy-to-read report.
Medical Credentialing is a continuous endeavor that necessitates regular maintenance every 3 to 5 years. Managing expiring documents can be a hassle. At Pathway GMS, we take the burden off your shoulders by maintaining meticulous client records, enabling us to proactively identify when credentials are due to expire. We initiate the re-credentialing process promptly, ensuring that your practice maintains uninterrupted operations seamlessly.
Each state has its own medical license application process, eligibility, and expiration requirements. Our Credentialing Specialists are focused on providing comprehensive and reliable services by using their extensive experience in credentialing across the United States. We analyze your portfolio and specialty, and recommend solutions to streamline your enrollment process.
To secure reimbursements from diverse insurance providers, becoming an in-network provider is crucial, unless the fee schedule for an out-of-network provider proves more advantageous (subject to individual circumstances). At Pathway GMS, our team of health insurance experts boasts years of experience in efficiently enrolling healthcare providers of various sizes, medical specialties, and service types. We’re dedicated to making the credentialing process seamless and effortless for you.
REQUEST A FREE CONSULTATION
Why work with MMB? Contracting & Credentialing, Provider Enrollment, and Licensing is very time consuming. Our team will save you much needed time on paperwork and phone follow-up and eliminate the frustration associated with the process. Call Us @ (281) 786-4324 or Request your Free Consult by completing the form below.
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