TechCare Global LLC

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MEDICAL REVENUE CYCLE MANAGEMENT

You Are The Heroes Of Healthcare, We Are The Heroes Of RCM!

BellMedEx Medical Revenue Cycle service generates and collects payments for the services a provider provides to their patients. It’s a complete RCM solution managing end-to-end RCM operations like patient registration, insurance verification, coding, billing, and collections. Plus, optimizes revenue cycle for better financial outcomes of the physician’s medical center.

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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

Credentialing and contracting are the cornerstones of establishing a clinic or healthcare facility. They shape your rapport with insurance companies and patients, playing a pivotal role in enrolling in preferred provider networks. TCG Medical Billing’s credentialing services pave your path into these networks with contracts tailored to benefit you. This not only amplifies patient care and satisfaction but also boosts your revenue. Our goal is to expand your facility’s capacity to serve a broader patient base while significantly enhancing patient satisfaction. Credentialing is indeed time-consuming, yet it safeguards revenues, minimizes potential losses, and elevates your practice’s reputation. In essence, it’s an investment that secures the sustainability and success of your medical organization.

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)

This is a proprietary algorithm that we use to measure and manage the productivity and quality of our coding team. It allows us to monitor the coding process in real-time, identify and correct errors, and generate reports and analytics.

Calculating Risk Adjustment Factor (RAF) Score

This is a measure of the expected health care costs for a patient based on their diagnoses and demographic factors. A higher RAF score indicates a higher risk and complexity of the patient’s condition. We use our expertise in coding and documentation to ensure that your RAF scores accurately reflect the severity of your patient population and maximize your reimbursement from Medicare Advantage plans.

Improving Discharged Not Final Billed (DNFB) Rate

This is a proprietary algorithm that we use to measure and manage the productivity and quality of our coding team. It allows us to monitor the coding process in real-time, identify and correct errors, and generate reports and analytics. It allows us to monitor the coding process in real-time, identify and correct errors, and generate reports and analytics.

Managing Discharged Not Finally Coded (DNFC) Cases

This is the number of days a case remains before being finally coded after discharge. A high DNFC can delay your claim submission and reimbursement, as well as increase your coding backlog and workload. We help you lower your DNFC by providing fast and accurate coding services, using our OFC software and our skilled coders.

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.

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)

This is the average relative weight of the diagnosis-related groups (DRGs) for all patients treated at your facility. A higher CMI indicates that you have treated more complex and resource-intensive patients, which may result in higher reimbursement rates from Medicare and other payers. We help you improve your CMI by assigning the most appropriate DRGs for your cases, based on the ICD-10-CM and PCS codes and the MS-DRG system.

We help you improve your CMI by assigning the most appropriate DRGs for your cases, based on the ICD-10-CM and PCS codes and the MS-DRG system.

Payer Enrollment and Credentialing

One Solution for All Your Credentialing & enrolment

Proper credentialing is essential for healthcare providers to deliver quality care, attract patients, and maintain compliance. Our comprehensive credentialing service helps providers of all specialties navigate these challenges. Our payer enrollment credentialing services are available for:

Physicians

Our credentialing service ensures physicians gain swift access to insurance networks, accelerating patient care. It's crucial for maintaining credibility and trust with patients and peers.

Hospitals

Credentialing with us streamlines hospital operations, enabling efficient insurance claims processing and fostering collaboration among medical staff.

Podiatrists (DPM)

Credentialing through us empowers podiatrists to offer specialized foot care, securing their position as recognized experts in their field.

Ambulatory Surgery Centers (ASC)

Credentialing via our service for ASCs enhances patient trust by demonstrating adherence to rigorous quality standards, crucial for safe surgical procedures.

Diagnostic Testing Facilities

Credentialing helps diagnostic facilities and clinical laboratories gain insurance approval, increasing patient referrals and enabling prompt diagnosis and treatment.

Behavioral Health Providers

Our credentialing service aids behavioral health providers in becoming part of insurance networks, enabling vital mental health services to reach those in need.

PAs/NPs

Credentialing via our service aids PAs/NPs in expanding their practice reach, ensuring they're authorized to deliver essential medical services independently.

PT/OT/SLP

Our credentialing facilitates therapists' inclusion in insurance panels, enabling them to offer vital rehabilitation services while maintaining financial stability.

Chiropractors (DC)

Our credentialing service solidifies chiropractors' standing in the medical community, granting them access to insurance networks for widespread patient engagement.

Urgent Care Facilities

Our credentialing ensures urgent care facilities are in-network with insurers, making prompt and affordable medical services accessible to a broader range of patients.

Optometrists, Audiologists

Credentialing broadens the reach of optometrists and audiologists, allowing them to deliver essential eye & ear care services to a more diverse clientele.
Complete Payer Support

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.

Our Packages

TCG Provider Credentialing Service Packages

Basic

Medical Credentialing
Provider Enrollment
Continuous Support
Medical Billing
Specialty EHR
Get Started
Collect and verify your documents and information
Complete and submit applications and forms to your chosen payers
Follow up until you get approval and contract
Update you regularly on your status
Deliver your credentialing certification

Advanced

Medical Credentialing
Provider Enrollment
Continuous Support
Medical Billing
Specialty EHR
Get Started
Attest to your information on payer portals as required
CAQH profile, Availity account, Optum ID
Update your information and documents as needed
Re-credential and re-enroll you periodically
Ensure your compliance with rules and regulations
Monitor changes in payer requirements and policies

Premium

Medical Credentialing
Provider Enrollment
Continuous Support
Medical Billing
Specialty EHR
Get Started
Provide you with a customized specialty-specific EHR system
Train you and your staff on how to use the EHR system
Integrate the EHR system with payer portals
Handle all your medical billing tasks
Optimize your revenue cycle management
Claim scrubbing and denial management
24/7 dedicated support team