Who we serve · By facility type
Facility credentialing and enrollment.
An entity doesn't get credentialed the way a clinician does. It gets licensed, surveyed, assigned an NPI, enrolled with Medicare on one specific form, enrolled with Medicaid on another, and only then contracted. Out of order, every stage blocks the next.
Home Health Agency Enrollment & Certification
Three different businesses hide behind one phrase: non-medical home care, licensed home health, and Medicare-certified home health. Only one of them needs an 855A.
Learn more →ABA & Autism Therapy Credentialing
The clinic's whole payer file rests on one licence type. Registered technicians deliver most of the hours and cannot enroll, they have to be rostered under the analyst who can.
Learn more →Behavioral Health Facility Credentialing & Enrollment
PHP, IOP, detox and residential are four different contracts, not four intensities of one. Facilities get contracted for one and bill another more often than any other error in the category.
Learn more →Hospice Agency Enrollment & Medicare Certification
The benefit is elected by the patient, paid per day, and capped at the agency level. A hospice that does not understand its own cap is running a business it cannot forecast.
Learn more →Ambulatory Surgery Center Credentialing & Enrollment
The surgeons are credentialed and the centre still cannot bill, because the facility fee lives in a contract nobody negotiated. The ASC and the physicians are two separate enrollments.
Learn more →Skilled Nursing Facility Medicare Enrollment
Certification gets you traditional Medicare. The managed care contracts get you admissions, and most facilities start those a year after they needed to.
Learn more →FQHC & RHC Credentialing and Enrollment
An encounter rate makes credentialing look unimportant, right up to the month a clinician is not properly linked and a quarter of your visits become unbillable encounters.
Learn more →Urgent Care Credentialing & Payer Enrollment
Medicare enrols you as an ordinary clinic and pays you like one. The commercial payers pay a case rate tied to a place-of-service code, and that code is worth more than the negotiation around it.
Learn more →Physical Therapy Credentialing & Enrollment
State law says a patient can walk in without a referral. Your contract may say the visit is not payable without one. Both are true at the same time.
Learn more →Multi-Specialty Group Credentialing & Contracting
The specialist is credentialed, the group is contracted, and the claims still pay at primary care rates, because nobody amended the contract to include the specialty.
Learn more →Hospitals and medical staff offices
Facility credentialing is a volume business on a committee calendar: an incomplete file misses a meeting, a missed meeting leaves a provider unable to work, and the medical staff office absorbs the blame for delays it did not cause. Surges, a new service line, an acquisition, or a resignation in the credentialing office, turn backlog into crisis.
We slot in beside your medical staff office: complete files, references chased, reappointments tracked, and the process work, including delegated credentialing readiness, that makes the whole operation run better next year than it did this year. See hospital privileging and credentialing consulting.
Our medical staff office is overloaded. Can you take overflow? Yes. That is the typical engagement: we work initial appointments and reappointments alongside your MSO during surges, such as a new service line, an acquisition, or staff turnover, inside your existing bylaws and processes.
Is delegated credentialing worth pursuing? If you credential at volume, often yes. The bar is documented processes, committee structure, and audit readiness. We assess the gap honestly and build the missing pieces if the math works.
Can you fix our payer roster after an acquisition? Yes. Acquisitions are the classic roster event: two entities' payer records merged into one reality nobody reconciled. Cleanup reconciles every payer's roster against actual staff, then maintenance keeps it clean.
Do you replace our credentialing software? No. We work inside whatever your MSO runs. If tooling is part of the problem, a consulting engagement will say so with specific recommendations.
What we file, and what we don't
We file enrollment and credentialing paperwork: the CMS-855 forms, CAQH, NPI registration, Texas Medicaid through TMHP, payer applications, contracts, and revalidations.
We don't run accreditation surveys, issue state facility licenses, or handle CLIA certification, bonding, or capitalization. Those sit ahead of us in the stack. Every facility page below marks which stages are ours and which are yours, so you know the real shape before you commit to anything.
Don't see your organization type?
The taxonomy has 187 entries; we've written pages for the ones people ask about most. Ask about yours.