Premier Medical Credentialing Services in Utah
Utah Medical Billing offers expert support to streamline the medical credentialing process for practitioners to increase revenue at every medical claim submission. Book experts and professional credentialing experts today.
About Our Medical
Credentialing Services
Navigating the complexities of different insurance payers is tedious, but it also drives providers toward a mistake-prone process. Utah insurance credentialing services are tailored to support healthcare organizations in expanding their medical treatment services across all states and insurance companies. We help you save weeks in filling out credentialing applications and primary source verifications, resulting in a smooth transition and onboarding with new payer networking plans. Additionally, outsourcing our enrollment services offers flexibility and minimal disruption to patient care activities, allowing your team to focus more on patient care than on laborious administrative tasks.
Our Specialized Medical Credentialing Services
Government Program Enrollment
Experts of our company handle the entire Medicare and Medicaid provider enrollments, ensuring clinicians can offer their patient care services to these health plan beneficiaries to promote maximum prevention and timely treatments for critical and chronic diseases. We also provide support to Medicare DMEPOS enrollments, helping providers offering specialized services like durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS).
Commercial Insurance Credentialing
Besides Medicare and Medicaid programs, our commercial insurance enrollment experts provide seamless integration with all major payers in Utah and across the US. Our superior support establishes favorable terms in contract negotiation on medical services and opens the doors for maximizing reimbursement rates that contribute to the optimal function of revenue cycle management.
Essential Registrations
Our healthcare credentialing team offers invaluable assistance in NPI registration of both types, ensuring individuals and groups/hospitals avail the best privileges. In this aspect, we handle Type-1 for individual providers and extend this assistance to Type-2 for healthcare organizations. Along with NPI, we create and maintain the CAQH profile necessary for obtaining enrollment with payers.
Licensing and Certification
The best of our credentialing and enrollment services doesn't end here. We proficiently handle Utah state license applications for new providers and renewal of medical licenses for established practices for continuous function without disruptions. Moreover, we assist healthcare practitioners in obtaining DEA licenses, which allow providers to prescribe opioids and controlled substances to patients suffering from terminal illnesses.
Hospital Privileges
We help providers in streamlining the application process for affiliated hospitals throughout Utah to ensure their patients receive high-quality care from qualified healthcare experts. Privileging ensures medical providers act within the scope of their practice and provide competent patient care in line with their role at the facility. Additionally, we aid in the process of monitoring and re-evaluation of skills and competence that ensures clinicians to continue performing the approved privileges.
Ongoing Support
We offer continuous support to healthcare physicians in the revalidation and re-credentialing process so they can maintain their active status in providing medical care to patients in the payer's network. Our 24/7 ongoing support identifies and resolves critical issues and leakages in your revenue cycle and employs the best preventive measures to meet NCQA compliance standards.
Our Specialized Medical Credentialing Services
| 1. Verification from Original Sources | Confirming a provider's credentials directly from original sources facilitates a more efficient enrollment process with insurance payers. Current qualifications and certifications ensure compliance with all regulatory standards. |
| 2. Optimize Operations | Our specialists organize this process systematically and manage every step until the provider successfully joins the network. |
| 3. Support Your Team | Outsourcing this complex and lengthy task allows your internal staff to redirect their energy toward higher-priority responsibilities. |
| 4. Reduced Errors | Our credentialing managers complete applications with meticulous accuracy, preventing critical oversights that busy physicians might miss. |
| 5. Expand Patient Base | Leveraging both in-network and out-of-network enrollment opportunities drives consistent patient volume growth and maintains steady revenue flow. |
| 6. Accelerated Processing | Our specialized team significantly compresses the credentialing timeline from several months down to just a few weeks for faster implementation. |
| 7. Round-the-Clock Monitoring | Our digital platform offers continuous access to track your credentialing, enrollment, and DEA licensing applications, keeping you informed at every stage. |
Why Choose Us?
Medical Coding Services Based in Utah- Automated Claim Creation Using AI Technology
- Optimized Revenue Cycle Management
- Patient Satisfaction Rates Doubled
- Full Adherence to All Regulatory Standards
- Operational Cost Reduction Exceeding 60%
- 85% Drop in Discharged Not Final Billed Cases and Prevented Revenue Loss
- Certified Professionals from AHIMA and AAPC
- Strengthened Clinical Documentation Practices
- Faster Claim Submission and Improved Response Times
- Accurate and Dependable Clinical Data Reporting