Services
Each service stands on its own. Together they cover the whole path from opening your doors to getting paid for the care you give.
Credentialing and payer enrollment
Getting your providers and your organization approved to bill Medicare, Medicaid and commercial insurance plans, then keeping those approvals current.
Read about credentialing- Individual provider enrollment
- Group and facility enrollment
- Commercial payer applications
- Medicare enrollment and reassignment
- Medicaid enrollment
- CAQH ProView setup
- CAQH re-attestation
- Adding providers and locations
- Demographic and address updates
- Re-credentialing
- Expiration tracking
- Monthly exclusion screening
State program and facility licensing
Finding the agency that licenses your program in your state, preparing the application and policies it requires, and seeing it through to approval and renewal.
Read about licensing- Initial licensure
- License renewals
- Change of ownership or control
- Change of location or services
- Branch and additional sites
- Medicare certification readiness
- Medicaid program readiness
- State-required policies
Accreditation consulting
Preparing your program for a first accreditation or a re-accreditation survey, and keeping you in good standing between surveys.
Read about accreditation- Readiness assessment
- Policies and procedures
- Required written plans
- Clinical documentation
- Chart audits
- Staff training
- Mock survey
- Survey-day support
- Corrective action plans
- Annual performance analysis
- Annual conformance reports
- Maintenance calendar
Billing and revenue cycle
Setting up billing so claims are paid the first time, then running the monthly cycle or cleaning up what's already behind.
Read about billing- Billing assessment
- Billing setup
- Electronic payment and remittance enrollment
- Monthly claims management
- Denials and appeals
- Aging balance recovery
- Billing workflow design
Opening a new program?
The order you do things in decides when you can bill. We plan licensing, accreditation, credentialing and billing as one project so each step is ready when the next one needs it.
How pricing works
Every engagement starts with a written quote based on your actual scope: how many providers, payers, locations and states are involved. You see every service and what it covers before you agree to anything.
Ongoing work such as credentialing maintenance and billing is priced monthly, and the quote explains how.
Not sure which service you need?
Describe your situation and we'll tell you where to start.