Provider Enrollment and Credentialing can be a cost-effective solution for providers enabling in-network payment for patient services. Unfortunately, making it happen can be a time-consuming challenge. Click4RCM’s Provider Enrollment Service team specializes in facilitating the process to ensure prompt payments and reimbursements. We manage your end-to-end PES needs including documentation, enrollment, payer portals, revalidation and more.
Provider Enrollment Services (PES)
Benefits
How it Works
Our team reviews and assures that we have all the right documentation before submitting your information to the payer. We confirm that all licenses, certifications, group names, Medicare/Medicaid TINs, malpractice insurance and more are accurate across all paperwork so your application gets accepted the first time. We manage your initial enrollment and maintain your information on CAQH. Our team informs you when your information requires re-enrollment or is expiring. We are your advocate and liaison with your payers.
On-going Monitoring
Click4RCM knows that while setting up and getting credentials approved is critical – it’s even more important to monitor the outcome. Our experts work closely with your back-office staff to monitor for claim status and denials. We review denial status and reason codes and look at your original contracts to make sure you are getting paid properly.
At Click4RCM, we believe that your revenue cycle is not a static process but rather an evolving, dynamic process that needs constant attention for the success of your business, your practice – and ultimately, the care of your patients.