Physician Credentialing Services

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[vc_column_text]We help in physicians credentialing services USA, outpatient facilities, and hospitals in the following way.

• Obtain insurance authorization for services and procedures that need prior approval.
• Save yourself from the hectic schedule of dealing with the payers and save time.
• Staff can focus on the primary responsibilities.
• Get maximum reimbursement

HAVE YOUR PRIOR AUTHORIZATION PROCESS MANAGED BY PROFESSIONALS

Some Medicare, point-of-service plans and managed care programs need precertification for procedures like outpatient procedures, surgeries, and hospital admissions. The provider can only face significant financial losses if pre-authorization is missing.

We assure you that we will effectively manage the precertification for the procedures. Our prior-authorizations specialists will ensure that:

• Your submitted claims for treatments or services that require pre-authorization properly
• Payers’ criteria before submitting a prior authorization request

We ensure that precertification has to apply with the following:

• The insurance and demographic details of the patient.
• A verbal/ written order from the physician
• Referral of the primary care physician to the physician who orders the exam, if needed
• Detailed diagnosis, past medical history, detailed clinical indications, and the reason for the requested exam
• Number of sessions expected for stays in hospital and extended care facility stays
• ICD-10 and CPT codes for planned treatments and diagnostic procedures

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