Our expert credentialing team helps you boost clean claims by keeping your provider credentials current and securing strong payer contracts—so you get paid what you’re owed, faster.
About Our Credentialing & Contracting Company
Healthcare credentialing ensures patient safety and guarantees compliance with federal and state regulations. It’s your practice’s responsibility to properly verify provider credentials. But the backbone of clean claims is timely, accurate credentialing and robust payer contracts.
This is why we offer both national practices and Las Vegas providers credentialing and contracting services:
- Credentialing/Provider Enrollment
- Negotiating new contracts and fee schedules
- Reviewing and renegotiating existing contracts
- Updating demographic changes with payers
- Loading out-of-network providers/facilities, if applicable
Our Payer Relations team is a powerhouse of negotiation. We don’t just communicate with payers—we advocate for you, ensuring you’re compensated fairly for every patient you care for. Our ultimate goal? Making sure you get paid promptly and in full.
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54% of medical practices reported that denials an increase in denials tied to provider credentialing issues in 2021.
We know that pain points with provider enrollment issues lead to lost revenue
Credentialing delays, miscommunications with payers, and constantly shifting requirements cost you time and money.
Common credentialing challenges include:
- Slow processing of new provider applications
- Lack of payer communication
- Constantly changing, complex requirements
- Closed networks and issues with new insurance plans
- Discrepancies in provider data
Why Partner With Us?
Our team provides medical credentialing services that help you streamline your billing and cash flow, giving you peace of mind so you can focus on what matters most: patient care. Here’s how we ensure you thrive:
Modio Software
We leverage cutting-edge credentialing software to store and manage your data in one centralized, secure location.
Clear Expectations
Credentialing and contracting can take time. Our credentialing and medical contracting company will set clear, realistic expectations for the entire process—from start to finish.
Full Transparency
You’ll always know exactly where we stand with your credentialing and contracting, plus what’s needed from you at every step.
Payer Relations Experts
Our Las Vegas-based based medical contracting specialists are skilled in provider enrollment, securing new contracts, and renegotiating terms to benefit you.
Better Fee Schedule
We negotiate aggressively on your behalf to secure the highest possible reimbursement rates.
Accurate Data
Accuracy is critical. Our team in Las Vegas offers expert medical credentialing services to companies across the US, to ensure your information is 100% correct with payers, eliminating costly errors that delay payments.
They do better than an in-house group of billers that you would have to pay for.
Always responsive, always on top of it, always helping re-credential and all of the little things, and staying current on Medicare licensure, and private insurance. They offer tips on who to take and who not to take and can give you spreadsheets for you to analyze or you can just flat out ask them: “So is this a good payor?” OR “Which of these insurances pays the worst?” Or “Hey what are we doing wrong here?” They can analyze your reimbursement and let you know how best to find value and eliminate bad payors or things that are causing declines in revenue. They wipe the floor when compared to other billers, especially my last company… atrocious. So if you want a group of professional ladies who are trying to do the right thing, but are aggressive as they should be to make sure your practice flourishes, then you should listen to Christine Romney at RevCure
Dr. Robert Frey, MD MBA, Pacific Pain Management Inc in CA