Credentialing & Enrollment Services

Our enrollment specialists have the skills and expertise to keep your facility and providers in compliance with all contracted payers.

Receive Payments Sooner

The Medical Credentialing Service is a key tool for avoiding late claim submissions, exceeding filing limits, wasting time, and losing money. Our knowledgeable staff oversees the credentialing process and assists you with provider registration and credentialing. MJM & SONS is knowledgeable with insurance coverage. We can assist you in joining an insurance carrier’s network, allowing you to provide outstanding service to the company’s insured patients. Our specialized healthcare credentialing services will help you get compensated faster.

Improve Performance

You may have a team of expert physicians with the necessary qualifications and licenses, but without enrollment, you may face the risk of financial difficulties. You must complete primary source verification to enroll with payers, switch practices, or add new physicians to existing groups in order to improve the performance of your practice. You must outsource provider enrollment services to specialists like us if you don’t have the knowledge to handle the physician credentialing procedure.

An Annoying Distraction

Physicians and other healthcare providers, such as hospitals, counseling offices, chiropractors, dentists, physical therapists, occupational therapists, optometrist’s offices, urgent care centers, treatment centers, and others, must go through a rigorous credentialing procedure in order to bill an
insurance company as an in-network provider. Medical credentialing can be an annoying distraction from providing high-quality patient care, but it doesn’t have to be. That’s something we’ll take care of for you!

Expert Assistance Is Crucial

Our Credentialing & Enrollment teams are dedicated to offering cost-effective solutions to insurance enrollment, contract negotiations, Medicare/Medicaid enrollment, and physician credentialing challenges. New provider credentialing, CAQH credentialing, hospital credentialing, contracting, and enrollment maintenance services are just a few of the things we can assist you with. Insurance enrollment may be a difficult task, and if done incorrectly, it can have a significant impact on a practice’s cash flow. This is why having expert assistance is imperative.

Our Medical Credentialing Services include

Compliance

Our Credentialing Services guarantee that the NCQA and the DHFS are followed.

Portal Registrations

Creation, maintenance and updating of CAQH & PECOS credentialing portals

Data Integrity & Contracting Issues

We use audits to address contracting issues and secure data integrity.

Credentialing and Re-credentialing

Credentialing services for new providers and practices. Add additional providers/locations to health plans for existing practices.

Dedicated Team

As required by health care providers, a team completes the credentialing data and submits it to commercial insurances, Medicare, and Medicaid.

Essential Follow-Ups

Our medical billing and credentialing services guarantee that all follow-ups are performed effectively, resulting in a seamless enrollment process.

Credentialing And Enrollment Services Enable You To

Did you know?

Medical credentialing services typically entail obtaining information about a physician’s background and credentials through a formal application that is validated against reputable sources such as the National Practitioner Data Bank and the American Board of Medical Specialties.

Since over 15 years, the Coalition for Affordable Quality Healthcare has offered a standardized credentialing program, which has been adopted by the majority of payers in the United States.

Physicians are typically required to answer 800 questions when approached by a hospital, HMO, or employer. Items such as licensing and practice history from the last five years are included in the information.

Why US?

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