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. Partner with us to maximize your financial rewards and streamline your billing process.

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. By working together, you can improve your practice's capabilities and reputation while guaranteeing ongoing success and growth.

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. Simplify your billing procedures and concentrate more on patient care while we take care of your financial operations

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. Enjoy quicker payouts and improved financial stability, allowing you to focus on delivering exceptional patient care."

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. With our dedicated support, you can focus on patient care while we ensure your financial interests are protected.

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. With our proactive approach to claims management, you can benefit from more efficient operations and increased reimbursement rates.

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. This stringent change word to Precise

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. However, credentialing is complex precise, demanding exact documentation and verification across various stages within the insurance network. This intricacy emphasizes how crucial accuracy is since even a small mistake can result in denials and major resource waste (money and effort).

Explore Our Provider Credentialing
Process Step-by-Step

At RMR Technologies, our provider credentialing process goes beyond routine; it’s a validated and certified method guaranteeing the utmost compliance standards. With a remarkable success rate of up to 98% in gaining approvals from premium payer networks, our providers enjoy maximum privileges within their specialties. Here’s an overview of the typical steps involved in our process.

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, educational history, demographics, and professional background.

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 for seamless primary source verification.

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. Through consistent weekly interactions with payers, we advocate for swift processing and endorsement of your credentialing application.

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

RMR Technologies offers comprehensive provider credentialing services tailored to healthcare professionals and organizations. Our services encompass everything from initial credentialing to enrollment, ensuring seamless compliance and efficient processes for healthcare providers.

Optimize with RMR Credentialing Services

To help healthcare professionals enroll in essential Medicare and Medicaid programs, RMR Technologies specializes in Provider Credentialing Services. These initiatives are essential for reaching a wider patient base, increasing income sources, and guaranteeing adherence to strict national and local laws. Our services are intended to simplify the enrolling procedure, allowing clinicians to concentrate on providing their patients with high-quality treatment while navigating the intricacies of these programs.

Credentialing Providers with Commercial Insurance Payers

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 make it easier for organizations (Type 2) and individual providers (Type 1) to obtain and update their National Provider Identifier (NPI) registrations. Healthcare providers are assigned a 10-digit identification number, known as the NPI, by the Centres for Medicare & Medicaid Services (CMS). It is necessary for the healthcare system’s electronic billing, reporting, and transaction processing.

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. Utilizing CAQH ProView streamlines the credentialing journey across various health plans, enhancing efficiency and accuracy.

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, improving treatment quality and guaranteeing payment.

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. This can be achieved through streamlined processes, better technology integration, and continuous assessment and adaptation to changing healthcare needs.

Commercial Payers

Improving services for commercial payers entails putting a strong emphasis on the patient experience, relieving the administrative strain on healthcare providers, providing creative and affordable insurance options, and encouraging open and honest communication about costs and coverage

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