Our credentialing team ensures credentialing forms are done right, the first time.
Building, managing, updating, submitting, tracking, and verifying credentialing applications is a resource and time-intensive necessity for every practice. Our team of experts will alleviate this headache and expedite the process. Successful renegotiation of your payor contracts can also represent as much as a 12% lift in revenue. Etransmedia’s payor, physician credentialing and contract negotiation services assure physicians they are earning every penny they deserve. Contact Us
Etransmedia’s specialized credentialing and payor contracting team uses today’s most updated resources to perform accrediting functions and negotiate insurance contracts for physicians across the nation. It’s the heart of your practice — it determines if your practice survives or thrives. Don’t risk it with inexperience or lack of resources. Trust the credentialing and payor contracting experts. Trust Etransmedia.
Credentialing and Payor Contracting
Payor contracting, credentialing and renegotiation are critical to the health of your practice. Successful renegotiation of your payor contracts can generate an increase of over 12% in revenue.
Etransmedia’s team of trained and experienced payor contracting and credentialing professionals perform a thorough benchmark analysis for each of our clients to compare your practice’s fees and reimbursement trends against national and regional standards. Through this process, you’ll gain valuable insight into how well your practice is performing and take advantage of Etransmedia’s skilled contract negotiators who fight for every penny you deserve.
Renegotiation of top payor contracts to optimize practice revenue
On-going payor contract credentialing/negotiation/renegotiation for your physicians and allied professionals
Processing of payor contract evaluations and rate/reimbursement negotiation
Assurance that physician information meets federal and state guidelines when processing applications for hospital and facility privileges
All primary State licensure and DEA and CDS and malpractice insurance applications are submitted and managed on your behalf
Extensive payor knowledge and working relationships ensuring the most efficient and streamlined credentialing processes
Rapid turnaround time for credentialing via Etransmedia’s data connection with the ABMS and AMA and AOA reducing the holding time of the bill
Facility privileges and payor re-credentialing on-demand
CAQH profile creation and maintenance
Government enrollments such as Medicare and Medicaid and NPI are managed for your practice
Assurance that all NCQA and URAC and JCAHO requirements and accreditation standards are met
Processing of National Practitioner Data Bank (NPDB) and the Healthcare Integrity and Protection Data Bank (HIPDB) sanctions
Electronic storage of all credentialing data applications and records for rapid retrieval
FREE White Paper
Strategies for Revenue Cycle Success in the Healthcare Industry. Tips to Help Physician Practices Improve Revenue in Today’s Challenging Healthcare Industry.
Service and Technology Packages
Our customizable revenue cycle management service and technology solution packages allow you to outsource based on the specific needs of your practice
Silver RCM Service
This package has the core service and technology needed for revenue management allowing you maintain the responsibility of patient billing.
Gold RCM Service
This package includes the core RCM services with added denials, A/R management services, and full service patient billing
Ancillary RCM Services & Technology
Available to enhance any package