Services
Credentialing Consulting Services
An expert audit of your credentialing operation, and rescue work when an application, or a whole in-house process, has stalled.
Sometimes you don’t need the work done for you, you need to know why it isn’t working. An application stuck for half a year, a spreadsheet nobody trusts, a new practice manager who inherited a filing cabinet: these are process problems, and they have process fixes.
We audit like practitioners, not consultants with a slide deck: every file checked against what payers actually require, every stall diagnosed to a cause, and a written plan in priority order, then we fix it ourselves or build your team to run it.
What's included
- Credentialing file and process audits with a written findings report
- Stalled-application rescue: diagnosis and unsticking
- In-house workflow design: checklists, calendars, tracking systems
- Software and tooling recommendations sized to your volume
- Delegated credentialing readiness assessment for large groups
- Staff training for practice managers who own credentialing internally
How it works
Discovery
We review your current files, tracking method, and pain points, an hour of questions saves weeks of guessing.
Audit
Every active file checked against payer requirements; every stall diagnosed to its actual cause.
Findings and plan
A written report: what's broken, what it's costing, and the fix, in priority order.
Fix or hand off
We rescue the stuck files ourselves, build the in-house process with your team, or both.
✦ What we control: We review your file, tell you honestly what we find and keep you updated on every step of the fix.
Pricing is quoted per practice, payers, providers, and states drive it, and your exact number goes in writing before you commit.How pricing works →
Who this is for
Built for these practice types
The rules change by license type and by entity. These pages carry the specifics, what your payers verify, which applications actually apply to you, and how long it really takes.
FQHCs & RHCs
You are paid per encounter, not per code. Everything else follows from that.
Learn more →Behavioral Health Facilities
Contracts are written per level of care. Deliver the wrong one and you're paid nothing.
Learn more →Home Health Agencies
The licence is the beginning. Medicare certification is the business.
Learn more →Physical Therapy
Three enrolment identities, one clinic. Choosing wrong changes what you can bill.
Learn more →Common questions
Our application has been 'in review' for six months. Can you fix it?
Should we credential in-house or outsource?
What is delegated credentialing and are we ready for it?
Do you train practice managers?
Talk it through with a specialist.
Free 20-minute consult about your payers, your providers and your scope.