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Physician Credentialing

Proper credentialing is at the heart of your profitability.

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

MEDICAL BILLING SERVICES

Improve your revenue by letting our services handle your revenue cycle process

PRACTICE OPERATIONS

Full-featured solution packages customized to focus on what your practice needs

PHYSICIAN CREDENTIALING

Building, managing, updating, submitting, tracking, and verifying credentialing applications is a necessity

TECHNOLOGY SOLUTIONS

Connect2Care® is a turnkey solution that improves workflow and financial results.

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.

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Increased 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.

Payor Contracting

 

  • 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

 

Physician Credentialing

 

  • 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

The group at Etransmedia has handled my billing and managed my contracts for more than a decade. They are trustworthy … Read More
- Stephen Lutz MD

President, Eastern Woods Radiation Oncology

When my former billing company decided to close abruptly, I contacted Etransmedia to help me set up my own business… Read More
- Ann Aring, MD, FAAFP

Assoc Program Director, Riverside Family Practice Residency Program

Just a note to say ‘thanks’ – having Etransmedia handle the billing was one of the best decisions this Board has ever made … Read More
- Paul Hardick

Cumberland Valley Counseling Associates

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

 
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Silver RCM Service

This package has the core service and technology needed for revenue management allowing you maintain the responsibility of patient billing.

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Gold RCM Service

This package includes the core RCM services with added denials, A/R management services, and full service patient billing

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Ancillary RCM Services & Technology

Available to enhance any package

Drive Higher Revenue   |   Improve Patient Care