Medical Credentialing Services

Put your mind at ease by choosing iRCM's Medical Credentialing Services. Reduce the hassle and stress of credentialing and get the recognition you deserve with us.

Provider Enrollment and Credentialing services

The Provider enrollment and credentialing process can be time-consuming, but it's worth it! Board certifications, malpractice insurance, and professional references are required, and the information must be recent and accurate. There are many steps to complete, and it feels like you're on your own.

iRCM not only keeps up with the changing requirements, but we also save our clients precious time by handling all the paperwork and follow-ups. iRCM keeps you updated on the latest changes in the healthcare industry, so you can be confident that you are meeting all the requirements.

Whether you are starting a new practice, adding new providers to an existing one, or need help staying organized and keeping on top of your medical credentialing, our team can help. Our provider data management services will keep your records up-to-date and accurate. If you're looking for comprehensive provider enrollment and credentialing services, you can't go wrong with iRCM Services.

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Provider Enrollment and Credentialing services

Our Medical Credentialing Services

We offer a full range of medical credentialing services to enroll you with commercial and government health plans, maintain your provider credentials, and re-credential as needed. From primary source verification to creating and maintaining your NPI number, we will promptly ensure that you are enrolled and credentialed with insurance companies.

New Provider Enrollment

New Provider Enrollment

Our team will gather all the required information and submit it to the insurance company on your behalf. We will track the status of your application and keep you updated every step of the way, so you can focus on seeing patients.

Credentialing

Credentialing

iRCM's primary focus is medical credentialing for physicians and other healthcare providers. We are well-versed in the credentialing process and can help you obtain the credentials you need to participate in government-sponsored and private insurance plans.

Re-Credentialing

Re-Credentialing

We not only help new providers get credentialed but we also re-credential existing providers. Our team will stay on top of your credentialing status and ensure everything is up to date so you can avoid any lapse in coverage.

Licensing

Licensing

Obtain the necessary state licenses for your providers with our comprehensive licensing services. We will work with you to ensure that all the required documentation is in order and that your providers are licensed on time.

IPA Enrollment

IPA Enrollment

iRCM ensures that the physicians' credentialing process complies with the requirements set by each IPA. This includes, but is not limited to, confirmation of the physician's medical education, training, and experience.

Accreditation

Accreditation

iRCM reviews the physician's file to ensure all required credentials are included and up-to-date to meet the National Committee for Quality Assurance (NCQA) standards so the physician can participate in the quality improvement program.

Physician Credentialing Services

The process of credentialing can be pretty cumbersome. Physicians need to provide up-to-date documentation for their medical licenses, which can be challenging if they practice in multiple states.

iRCM offers comprehensive physician credentialing services that can help your practice streamline the process and ensure compliance with all applicable regulations. We provide a complete and accurate assessment of physicians' credentials, as well as recommendations for how to improve the quality of care they provide. We are confident that we can provide our clients with the best possible credentialing services.

We have a streamlined process that will save physicians time and money. Our services not only comply with all state laws and regulations but also exceed industry standards. We handle all re-credentialing, revalidations, and new enrollments nationwide, so you can rest assured that your facility is in good hands. If Medicare or CAQH are causing you headaches or payers are taking too long to process your applications, don't worry - we're here.

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Why Choose iRCM Medical Credentialing Services

If you're looking for a partner who can keep your credentials up-to-date, keep your contact information on file, maintain your membership in good standing, and advocate on your behalf if there are any issues, you've come to the right place. iRCM's medical credentialing services give you peace of mind. We take the time to review your specific needs and apply to your area's top payers.

At iRCM, we understand the importance of credentialing documentation for healthcare physicians and organizations. Our industry experts complete the necessary paperwork and submit it to commercial insurance companies, Medicare, and Medicaid as requested. Our team evaluates the applications, mitigates revenue leakage, reduces denials, and identifies provider trends.

iRCM caters to your unique network needs and works with the top payers in your area to get the coverage you need. Our team has extensive experience with all the ins and outs of medical credentialing to ensure that your facility and providers remain in compliance with all contracted payers. This level of service sets us apart from the competition and is why healthcare providers choose iRCM time and time again.

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Why Choose iRCM Medical Credentialing Services