You Are The Heroes Of Healthcare, We Are The Heroes Of RCM!
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Swift Enrollment in Premium Payer Networks – Your Fast Track to Practice Success!
Credentialing, a meticulous process ensuring healthcare providers meet qualifications and comply with regulations, is vital for joining insurance networks like CMS/Medicare, Medicaid, Aetna, Cigna, Humana, UnitedHealthcare, and Blue Cross Blue Shield. TechCare Global excels in healthcare credentialing, delivering rapid and efficient solutions. Our professionals manage the entire process, from primary source verification to enrollment in premium payer networks, ensuring a seamless, cost-effective, and legally sound practice start.
Vital role of Credentialing and Contracting
TechCare Global’s Comprehensive Medical Credentialing Process
We Handle Every Detail
TechCare Global’s provider credentialing process isn’t just routine; it’s a validated, certified approach ensuring the highest compliance standards. With a success rate of up to 98%, we secure providers’ approval in premium payer networks, granting maximum privileges in their specialties. Explore our proven steps to excellence.
Comprehensive Provider Assessment:
Our credentialing procedure initiates with an extensive survey conducted by our specialists. Through in-depth interviews, we gather crucial details, including license numbers, educational background, demographics, and professional history, ensuring a thorough understanding of each provider
Strategic Insurance Partner Selection:
Our credentialing services assist providers in strategically choosing insurance partners that align with their practice goals and license type. We also finalize insurance panels based on practice location, ensuring a tailored approach to meet individual needs
Effortless CAQH Enrollment and Management:
We handle CAQH application submissions, ProView account management, and maintain up-to-date credentials for seamless primary source verification. Our support extends to payer credentialing submissions, ensuring swift insurance panel integration and accurate profiles that elevate network engagement and enhance the quality of patient care
Swift Credentialing Approval Assurance:
Despite the standard 60-120 day timeline, our provider credentialing experts proactively expedite the process. We maintain weekly interactions with payers, advocating for rapid processing and endorsement of your credentialing applications
Seamless In-Network Enrollment:
After credentialing, your application progresses to the contract phase, where an in-network contract is crafted, detailing fee schedules and eligible CPT billing codes. We expertly navigate closed panel challenges, using strategic appeals to ensure your inclusion. Successful credentialing paves the way for direct billing, often with advantageous reimbursement rates for in-network providers
Securing Your Hospital Privileges
Beyond the completion of credentialing, our ongoing assistance remains steadfast. We actively facilitate the attainment of crucial hospital privileges, encompassing admission, courtesy, or surgical rights
Sustained Surveillance and Updates
Our vigilant monitoring guarantees the ongoing validity of your company's credentials, ensuring uninterrupted credentialing. Our professionals meticulously track expiration dates and conduct thorough daily and weekly assessments, ensuring the active status of your credentials. Rest assured, your credentials are well-managed in our capable hands
Expert Provider Enrollment Services by TechCare Global
Partner with TechCare Global for top-tier hospital privileges and exclusive payor panel access. Our unwavering commitment advocates for your practice, ensuring collaboration with insurance companies and streamlined access to premium networks. TechCare Global’s experts simplify provider enrollment and medical credentialing, guaranteeing low costs, and eliminating cash flow issues, data errors, and expirations. Contact us now to end your challenges
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One Solution for All Your Credentialing & enrolment
Complete Medical Coding Solutions Provider
TCG handles all the complex aspects of medical coding, such as assigning accurate and compliant
codes for various specialties, procedures, and diagnoses. We also help you optimize your revenue cycle by
focusing on key metrics and indicators, such as:
Managing Overlook for Coding (OFC)
Calculating Risk Adjustment Factor (RAF) Score
Improving Discharged Not Final Billed (DNFB) Rate
Managing Discharged Not Finally Coded (DNFC) Cases
Optimizing Diagnosis-Related Group (DRG)
This is a system that classifies hospital cases into groups that have similar clinical characteristics and resource use. Each DRG has a relative weight that reflects the average cost of treating a patient in that group. DRGs are used by Medicare and other payers to determine the payment rates for inpatient hospital services. We help you optimize your DRG assignment by applying our knowledge of the MS-DRG system, the coding rules, and the documentation requirements.
Increasing Case Mix Index (CMI)
One Solution for All Your Credentialing & enrolment
Physicians
Hospitals
Podiatrists (DPM)
Ambulatory Surgery Centers (ASC)
Diagnostic Testing Facilities
Behavioral Health Providers
PAs/NPs
PT/OT/SLP
Chiropractors (DC)
Urgent Care Facilities
Optometrists, Audiologists
Access Your Favorite Payer Through Us
Government Payers
Examples include – Medicare, Medicaid, CHIP and TRICARE.
CAQH Insurance Plans
Examples include – UnitedHealthcare, Aetna, Cigna, and Humana.
Commercial Payers
Examples include – Blue Cross Blue Shield, Kaiser Permanente, Anthem, and Molina Healthcare.