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CREDENTIALING
Option
1: $16 per hour* onwards for initial submission
$6.5 per hour* onwards for follow up
Option
2: $100 per provider per payer enrollment
Credentialing is the process
of review and verification of the information of a health care provider who is interested
in participating with Various Insurances in their County.
Review and verification includes: current professional license(s), current Drug
Enforcement Administration and Controlled Drug Substance Certificates, verification
of education, post-graduate training, hospital staff privileges and levels of liability
insurance.
The process begins with requesting Credentialing Application Kits from all the commercial
and government health Insurances. After submitting the signed applications
we follow-up with the payers to retrieve the Provider or Group ID # confirming that
the doctor is participating with the insurance. We also give bi-weekly status
updates to the provider until an effective date of enrollment is determined so the
provider can begin claim submission.
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Clinicspectrum is a healthcare services company providing outsourcing/back
office and technology solutions for 17+ medical billing companies, 600+ medical
groups/healthcare facilities including hospitals, and hospital medical records departments.
The company is promoted by technical experts from diversified industries.
In a span of 12 years, we have been able to transform several billing companies
and healthcare facilities nationwide into efficiency engines. Our strategy is to
build productivity through the use of technology, highly trained personnel who deliver
results in a timely fashion, and customized consulting services. With resources
composed of 52+ employees nationwide and 350+ back office employees overseas, we
have found a solution for all the problems in running a medical billing company
and medical practice resulting in better clinical records, revenue cycle, and administrative
task management.
Services
Our back office expertise is in providing claims follow-up, credentialing,
eligibility verification, appointment scheduling, filing of scanned medical records,
claims entry, and payment posting.
Due to rising costs for all billing companies, healthcare providers and reduced
insurance reimbursement rates offices should not burden their staff with tasks that
can be performed by our team for a lesser fee along with better results. We use
the strictest auditing methods to insure optimal outcomes for our clients and always
guarantee confidentiality.
We are the sole proprietors of the medical billing back office, data entry,
and call center services we provide. This allows us to streamline all our respective
services into one effective solution for running a medical billing company, medical
practice and a hospital billing department.
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