Credentialing services for physicians

Revolutionizing Revenue Cycle Management

MEDICAL BILLING SERVICES FOR SMALL PRACTICES

  • Lower Your Billing Cost
  • Timely Claim Processing
  • Streamline your Cash Flows
  • Reduce Claim Denials to zero
  • Guaranteed, claim approvals
  • Minimum Lead Time

FREE

CREDENTIALING WITH MEDICAL BILLING

starting from

$ 499

PER MONTH

Your True Practice Partner

services we offer

Eligibility and Benefit Confirmation: 

Our team conducts thorough eligibility and benefit checks 48 hours in advance, ensuring accurate copay charging and enabling you to anticipate insurance payments with confidence.

Prior or Retro Authorization

We have extensive experience in obtaining prior authorizations efficiently.  We also assist with retro authorizations when necessary, ensuring that you have the proper documentation in place to minimize claim denials.

Coding & Chart Review

We offer comprehensive coding and chart review services for internal medicine, family medicine and mental health providers. Our goal is to help you maintain compliance and optimize revenue generation.

Referral Coordination

Our team facilitates efficient referral coordination, ensuring that necessary information is transmitted accurately and promptly. When it comes to patient referrals between doctors offices.

WHERE DO YOU LOSE MONEY IN

MEDICAL BILLING

Inaccurate or incomplete patient information

Improper coding or documentation 

Lack of thorough eligibility and benefits verification 

Failure to obtain prior authorizations 

Inefficient claim submission processes

Inadequate follow-up on unpaid claims

Ineffective denial management and appeals processes

Failure to obtain prior authorizations 

Strategic Approach

Reimbursement Strategies

Our experienced professionals can assist you in developing effective reimbursement strategies. We analyze your practice and identify additional billable services and revenue opportunities. 

By implementing proper documentation and coding practices, we help you maximize revenue collection while ensuring compliance with billing regulations.

With Rx-credentialing, you gain access to a comprehensive suite of services that go beyond medical billing. We are dedicated to supporting your practice’s financial success and optimizing your revenue cycle. 

Partner with us and experience the difference of a trusted partner committed to your practice’s growth and profitability.

Choose Rx-credentialing as your trusted partner for comprehensive and cost-effective medical billing services.

Let us optimize your revenue while you focus on delivering exceptional patient care. Contact us today to learn more about how we can streamline your medical billing process.

SERVICE FEATURES

Medical billing services for small practices

SPECIALTIES COVERED

FAQ

ask us
anything

We offer complete revenue cycle management services that includes Pre eligibility checks, claim submission, rejection & denial management, follow ups as well as timely payment postings to ensure maximum reimbursements.

Rx-Credentialing Submits all Claims within 24 hours of receiving superbills.

We also Offer Prior & Retro Authorizations Services, Pre Eligibility Checks, A/R Management and Patient collection services.

There is no restriction or limitation, We are familiar with almost every Practice Management System, We normally use office Ally, Kareo and eCW.

We offer flexible plans starting from as low as 299 dollars a month to 4% of your collection if its more than 50,000 USD a month.

our scope

focus area

At Rx-credentialing, we understand the challenges associated with the manual handling of Explanation of Benefits (EOB) documents.

To provide a seamless solution, we take care of Electronic Data Interchange (EDI) and Electronic Remittance Advice (ERA) setups right from the start. 

By automating these processes, we alleviate the burden on providers and save valuable time and effort.
Our dedicated team ensures a smooth integration with insurance companies, enabling accurate and timely claim submissions. 

Experience the efficiency and convenience of our EDI and ERA setups, empowering your practice with streamlined billing processes.

We take pride in our team’s extensive experience with multiple EMR/Practice Management systems.

This versatility ensures that we can seamlessly adapt to the software you currently use, saving you the hassle of switching platforms.

Our knowledgeable experts are well-versed in various systems, allowing us to deliver exceptional service regardless of the software you utilize.

Unleash the Full Potential of Your Practice with Rx-credentialing’s Value-Added Services.

At Rx-credentialing, we take pride in offering a wide range of value-added services as part of our Revenue Cycle Management (RCM) portfolio. These services are designed to optimize your practice’s revenue and streamline your workflow.

At Rx-credentialing, our dedicated team is committed to ensuring the accuracy and compliance of every claim we submit. 

Before submitting a claim, we meticulously review it to verify that it includes the appropriate Place of Service (POS), modifier, and ICD combinations.

We also carefully check against NCCI edits to avoid any potential bundling denials. 

Our goal is to expedite the reimbursement process for healthcare providers by submitting claims within 24 hours.

We understand the importance of timely follow-ups with insurance companies to prevent claim denials and minimize delays in payment.

That’s why, within 7 to 10 days, we initiate proactive communication with insurers, ensuring that your claims receive the attention they deserve. 

Our diligent approach to claim management and thorough understanding of billing regulations help maximize the chances of successful processing and timely payments.

With Rx-credentialing, you can trust that your claims are handled with utmost precision and efficiency. 

We strive to minimize denials, optimize revenue, and provide you with the peace of mind to focus on delivering exceptional care to your patients.

We empower healthcare providers with seamless Electronic Funds Transfer setups, transforming the payment process.

By facilitating direct payments into their bank accounts, we eliminate the need for unnecessary visits to the bank and the risk of lost checks in the mail. 

Proper EFT setups ensures prompt payment from insurance companies, enhancing overall efficiency and minimizing delays in revenue collection. 

Experience the benefits of faster, secure, and automated payment processing through our streamlined approach. 

With Rx-credentialing, you can focus on delivering exceptional patient care while we handle the intricacies of payment management with precision and reliability. 

At Rx-Credentialing, we understand that Accounts Receivable (A/R) management is crucial for the financial success of healthcare providers.

That’s why we go above and beyond to ensure that no claim remains stuck in the denial bucket. Our experienced A/R specialists play a pivotal role in this process.

Our dedicated team diligently reviews and analyzes every claim, paying close attention to detail.

We thoroughly examine National Coverage Determinations (NCD) and Local Coverage Determinations (LCD) policies, perform NCCI edit checks, and review CMS manuals to ensure compliance and accuracy. 

If a claim is denied, our team takes immediate action within 2-3 days, making the necessary corrections and resubmitting the claim promptly.

Our commitment to your financial well-being drives us to keep the denial rate under 5%. We work tirelessly to maximize your revenue potential and minimize revenue loss. With Rx-credentialing, you can trust that your claims are in capable hands. 

We strive to deliver exceptional results, ensuring that you receive the reimbursements you deserve. Partner with us and experience the difference of a billing service that is dedicated to your financial success.

At Rx-credentialing, we are revolutionizing the medical billing landscape by offering Free Medical Credentialing & licensing services.

We treat your practice being a true partner because our success is directly tied to yours. 

Our commitment is to help you thrive financially, as we only make money when you make money.

Our expertise in Electronic Funds Transfer setups, Electronic Data Interchange, and Electronic Remittance Advice setups.

We ensure seamless revenue cycle management, we remove the hassle of handling paper checks and physical EOBs. 

Join us and experience the convenience and efficiency of a medical billing service that frees you from the burden of manual labor.

WHY US

You can never focus on your patients when you are distracted with Practice Management operations.

We Streamline your Collections so you can focus on your Patients.

We know it is hard to switch your Practice Management Software.

Therefore you can continue to use one of your choice.

We provide Complete Flexibility about that. Our Experts have hands on almost every well-known Software.

We strive to maximize your revenue & reduce expenses.

With our expertise to handle your licensing & Credentialing.

We know exactly how to increase your patient volume that leads you Practice toward Success.

Get your concerns resolved in real time.

Talk to your Dedicated Billing Manager whenever you want.

We can create all insurance portals for your office which you can use to check real-time patient eligibility and benefits at no cost.

Our RCM expert will take control of your entire medical billing process.

We can help you while submitting charges, verifying the CPT codes and ICD code combinations.

We help you select the appropriate modifiers, posting payments from the insurances or patient in your practice management system.

We further track claim statuses, Denial management and appeals submissions.

We process and submit all charges on a daily basis to make you have a consistent cash flow.

Try Our AR Recovery Program Today!

Risk-Free Opportunity: 

Test our services by entrusting us with your Accounts Receivable (AR) recovery without the need to switch your entire billing process.

Guaranteed Results: 

We work diligently to get your outstanding claims paid as long as they are within the timely filing limit.

Unleash Hidden Revenue: 

Reclaim lost revenue and increase your practice's cash flow without any upfront investment or long-term commitment

HOW IT WORKS

Fill your information in Contact form, elaborate your credentialing requirement.

After reviewing your query, we will get back to you as soon as possible to have clear idea regarding your requirements.

On your Go Ahead call, Our team will guide you through personalized  claim processing setup.

 

STILL GOT A QUESTION?

If you are interested in our medical billing services for small practices. Get in touch or ask anything you did not find answer for. We will get back to you at earliest.

Contact us