Medical Billing
Credentialing Services
1st Class Reimbursement
Experience premium reimbursement rates with RMR Technologies, a leader in medical billing. Benefit from our first preference status, ensuring you receive higher payments for the same services. This boosts your profitability and enhances your satisfaction.
Maximum Privileges
With RMR Technologies, enjoy maximum privileges through our streamlined approach. In addition to obtaining lucrative contracts, you'll also have access to cutting-edge initiatives and be compensated for exceptional work.
Billing-Ready
You will save a tons of time at RMR Technologies since you will be prepared to charge from the first day. A distinct Provider Identification Number (PIN) will be issued to you, enabling easy electronic claim submissions and online tracking in real-time.
Claims Processing
Experience faster reimbursements with RMR Technologies, ensuring a steady cash flow for your practice. No more waiting for months to receive payments—our efficient processes guarantee claim processing within an average of 7 to 15 days.
Payer Support
Our payer support at RMR Technologies ensures that insurance companies are on your side, fully addressing your needs. We advocate on your behalf, negotiating and resolving any issues that arise to guarantee fair and prompt payments.
Minimize Denials
Minimize denials with RMR Technologies' expert services, enhancing your practice's efficiency. We carefully check for eligibility, obtain authorizations, and file correct claims to cut down on mistakes and denials.
Importance and Process of Healthcare Provider Credentialing
Credentialing is a crucial procedure that verifies the credentials, abilities, and legality of healthcare providers. It is also known as insurance or doctor credentialing. The credentialing procedure is necessary for providers to collect payments from payers and operate in conformance with state and federal standards.
Obtaining a medical credential enables doctors to perform in particular settings and join vital insurance networks like Blue Cross Blue Shield, Medicaid, Aetna, Cigna, Humana, UnitedHealthcare, and CMS/Medicare. As a provider, expediting the credentialing process is crucial for promptly commencing practice and billing lawfully and ethically.
Explore Our Provider Credentialing
Process Step-by-Step
At RMR Technologies, With a remarkable success rate of up to 98% in gaining approvals from premium payer networks, our providers enjoy maximum privileges within their specialties.
Provider Survey
To begin our credentialing process, our credentialing specialists conduct thorough surveys. These surveys include comprehensive interviews with providers to collect essential data, such as license numbers & demographics.
Selecting Insurance Providers
Our medical credentialing services help providers strategically choose insurance partners aligned with their practice goals and license types. We also assist in finalizing insurance panels based on the practice location.
CAQH Application Support
We specialize in CAQH enrollment and management, streamlining the application process and ensuring swift approvals. Our team handles ProView accounts meticulously, keeping credentials up-to-date.
Guaranteed Speedy Credentialing Approval
Our provider credentialing experts understand the standard timeline of 60-120 days for credentialing approval but actively work to expedite this process.
In-Network Enrollment Process
After completing credentialing, your application proceeds to the contract phase, where you may receive an in-network contract offering comprehensive fee schedules and eligible CPT billing codes.
Securing Hospital Privileges for You
As credentialing nears completion, our proactive involvement continues. We facilitate the acquisition of all essential hospital privileges, including admitting, courtesy, and surgical rights
Healthcare Provider Credentialing Solutions
Optimize with RMR Credentialing Services
RMR Technologies specializes in Provider Credentialing Services to assist healthcare professionals in enrolling in essential Medicare and Medicaid programs. These initiatives are crucial for expanding the patient base, diversifying income sources, and ensuring compliance with both national and local regulations.
Credentialing Providers
We specialize in credentialing healthcare providers with commercial insurance payers. Credentialing with these companies enables providers to expand their patient base significantly and secure improved reimbursement rates through effective negotiations.
NPI Registration for Providers
Our credentialing solutions simplify the process for organizations (Type 2) and individual providers (Type 1) to acquire and maintain their National Provider Identifier (NPI) registrations. Healthcare providers receive a 10-digit identification number, called the NPI, from the Centers for Medicare & Medicaid Services (CMS). This number is essential for electronic billing, reporting, and transaction processing within the healthcare system.
Get credentialed and enrolled 2x faster.
Streamline Your CAQH Registration and Maintenance Process
Elevate your status among providers with our support. Our team of credentialing specialists manages the registration and upkeep of each provider’s profile on CAQH ProView, the trusted online platform for gathering and validating provider details crucial for credentialing.
Seamless Enrollment into Medicare's DMEPOS Program
Providers can access Medicare’s DMEPOS program, which covers necessary products such as braces, oxygen concentrators, wheelchairs, and diabetic supplies, by using our credentialing service. Participating in this program enables clinicians to offer Medicare patients certain essential services.
Unlock Hospital Privileges for Physicians
We help doctors get hospital privileges, which give them the authority to practice within a hospital’s walls and help them renew those privileges. The use of hospital resources, collaborative care with other medical professionals, and patient admission and treatment are all made possible by these privileges.
Get credentialed and enrolled 2x faster.
Complete Payer Support
Enroll with Your Payer via RMR Technologies
Government Payers
Improvement in government payers involves enhancing efficiency, expanding coverage, and ensuring sustainability.
Commercial Payers
Improving services for commercial payers entails putting a strong emphasis on the patient experience.