Medical Credentialing Services

Stop losing patients because you don’t take insurance. Call True Billing Tech at 1-505-317-2855 or info@truebillingtech.com. Get on Insurance Panels, Provider Enrollment and Physician Credentialing By True Billing Tech Credentialing Team.

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True Billing Tech

We Offers Complete Medical Credentialing Services

True Billing Tech offers medical credentialing services that prioritize accuracy and timeliness. Our dedicated team ensures the seamless credentialing of healthcare providers, enabling them to focus on delivering quality patient care without the administrative burden.
Trust True Billing Tech for comprehensive provider credentialing services. From initial application submissions to ongoing maintenance, we handle the entire credentialing process, ensuring compliance with industry standards and regulations.
Rely on True Billing Tech’s credentialing services to optimize reimbursement for your practice. Our expertise in navigating the credentialing landscape ensures that healthcare providers are recognized by payers, facilitating a smoother and more efficient reimbursement process.

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State-wide Provider Credentialing & Enrollment Services

True Billing Tech medical credentialing expert make ensure your healthcare practice continues to provide the highest level of care without without delay.

Application Submission

Healthcare providers initiate the credentialing process by submitting a comprehensive application to the desired insurance networks or healthcare organizations. This application includes details about the provider's education, training, licensure, certifications, work history, and other relevant information.

Verification of Credentials

The credentialing body thoroughly verifies the information provided in the application. This includes confirming the provider's educational background, licensure status, board certifications, work experience, and any other credentials essential to their practice.

Primary Source Verification

Our credentialing organization often perform primary source verification, directly contacting educational institutions, licensing boards, and other relevant entities to confirm the authenticity of the information provided by the healthcare provider.

Review by Credentialing Committee

A credentialing committee or review board assesses the completed application and verification reports. This committee evaluates whether the healthcare provider meets the standards and requirements set by the credentialing organization or insurance network.

Decision and Notification

Based on the committee's review, a decision is made regarding the approval or denial of the credentialing application. The healthcare provider is then notified of the decision, and if approved, they become credentialed with the respective insurance networks or healthcare organizations.

Contracting and Privileging

After successful credentialing, the healthcare provider may enter into contracts with insurance companies, detailing the terms of reimbursement for services. Additionally, in the case of hospital-based privileges, the provider may go through a separate privileging process to ensure they can perform specific medical procedures within the facility.

Ongoing Monitoring and Re-Credentialing

Credentialing is not a one-time process. Healthcare providers are subject to ongoing monitoring of their credentials, including license renewals, certifications, and any changes to their professional status. Periodic re-credentialing is typically required to ensure that providers continue to meet the established standards.

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Our Medical Credentialing Process

The medical credentialing process involves a meticulous review of a healthcare provider’s qualifications, including education, licensure, and certifications, ensuring that they meet the stringent standards set by credentialing organizations and insurance networks.
Credentialing committees assess the provider’s application, scrutinizing their credentials and professional history. This rigorous evaluation helps determine whether the healthcare provider meets the criteria necessary for approval, maintaining the quality and integrity of healthcare networks.
Beyond initial approval, medical credentialing is an ongoing process. Providers are continually monitored for changes in licensure, certifications, and professional standing to ensure ongoing compliance with the evolving standards and regulations of the healthcare industry.

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Benefits of Outsourcing Medical Credentialing

Outsourcing medical credentialing streamlines the often complex and time-consuming process, allowing healthcare providers to focus on patient care while experienced professionals handle the meticulous verification and documentation required for credentialing.
Choosing to outsource medical credentialing offers a cost-effective solution, eliminating the need for in-house staff dedicated to the credentialing process. External services, like True Billing Tech, bring expertise to ensure accuracy and compliance without the burden of additional overhead costs.
Outsourcing credentialing to specialized providers ensures that healthcare professionals benefit from a team well-versed in industry regulations and compliance. This expertise not only expedites the credentialing process but also helps maintain adherence to the ever-evolving standards of the healthcare landscape.

FAQ

True Billing Tech provides end-to-end medical credentialing services, including comprehensive application preparation, verification of credentials, communication with licensing boards and institutions for primary source verification, committee review facilitation, and ongoing monitoring to ensure continuous compliance.
Yes, True Billing Tech offers a comprehensive suite of services covering both initial credentialing and periodic re-credentialing. Our team manages the entire lifecycle, ensuring providers maintain up-to-date credentials, meet evolving standards, and seamlessly navigate the re-credentialing process.
Outsourcing to True Billing Tech provides healthcare providers with a cost-effective solution, allowing them to redirect resources toward patient care. Our expertise expedites the credentialing process, ensuring providers can participate in insurance networks, deliver services in healthcare facilities, and maintain a strong professional standing.
True Billing Tech employs a dedicated team of credentialing experts who meticulously review and verify each provider's qualifications. Through primary source verification and attention to detail, we ensure the accuracy of information, reducing the risk of errors and ensuring compliance with industry standards.
True Billing Tech is committed to continuous education and monitoring of industry changes. Our team stays abreast of evolving credentialing standards, regulatory requirements, and best practices. This dedication ensures our clients receive services aligned with the latest industry norms, promoting ongoing compliance.

What Clients Say About Us

Here, you’ll discover testimonials from a few of our valued clients. We take pride in assisting them in achieving their business objectives, and we are grateful for the positive feedback they’ve expressed regarding our services.
Dr Ali
Dr Ali
North Ocean Medical Group, P.C
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True Billing Tech has revolutionized our medical billing processes. Their attention to detail and commitment to accuracy have significantly reduced claim denials, resulting in faster reimbursements. The expertise of their team is unmatched, and their proactive approach to denial management has had a profound impact on our revenue cycle. Highly recommended!"
Dr Ahmed
Dr Ahmed
North Orchard Medicine PC
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We switched to True Billing Tech for our medical billing services, and it's been a game-changer. The cost efficiency is remarkable, and their advanced technology ensures that our billing is not only accurate but also compliant with industry standards. The level of professionalism and responsiveness from their team has exceeded our expectations.
Dr William
Dr William
Dr. Bryant Medical Practice PC
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True Billing Tech has been instrumental in optimizing our revenue cycle. Their comprehensive services cover everything from claim submission to payment posting, and the results speak for themselves. Our cash flow has improved, and the transparency in financial reporting has provided us with valuable insights. A top-notch medical billing partner!
Dr Steve
Dr Steve
Advanced Medical Office, PC
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Choosing True Billing Tech was one of the best decisions we made for our practice. The proactive denial management strategies have saved us time and resources, and their focus on continuous improvement keeps our billing processes on the cutting edge. Their commitment to client satisfaction is evident in every interaction. Couldn't be happier with their services.
Dr Gupta
Dr Gupta
Advanced Medical Office, PC
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True Billing Tech's expertise in medical billing is unparalleled. The reduced turnaround time in claims processing and payment posting has significantly boosted our financial performance. The team's dedication to staying updated with industry changes and regulations gives us confidence that our billing is always in capable hands. True Billing Tech is a true partner in our success.

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