EMMG Expands Credentialing Services | emmg

EMMG Expands Credentialing Services

In an effort to better serve our clients, EMMG has expanded the capabilities of its Provider Credentialing & Enrollment services! Our experienced Provider Credentialing team is now supported by state-of-the-art technology improving compliance, efficiency and communication.  This enhances our ability to ensure our client practices obtain or maintain enrollment for the services they provide by confirming that payers have the data they need to process claims for services provided. We constantly monitor payers to verify applications are processed on time and work diligently to identify and resolve potential administrative issues before they impact your reimbursements.

 
Our Provider Enrollment & Credentialing Process
 

Provider Credentialing 

 

  • Verify practitioner/facility information from physicians

  • Contact payers to determine if they have the correct provider information on file before we submit claims

  • Validate and update the provider's service address, pay-to address, or billing address

  • Enroll providers into missing or new payers

  • Monitoring process - A group of highly skilled team members trained to perform research and analysis on the possible processor functionality gaps

 
Provider Enrollment
 

  • Documentation Storage - Gather information for practitioner/facility required by payers

  • Review the information for the practitioner or facility to verify if enrolled properly with the payer

  • Complete applications required to be enrolled with the payer

  • Follow-up on submitted credentialing requests

  • Capture data, label and link images to specific providers/facilities in the payer's database

  • Maintain & Update provider information as per policies and procedures, including CAQH profile

 
In addition, EMMG also offers a comprehensive suite of custom services covering all aspects of billing, collections and revenue cycle management. Because of our vast experience in physician billing and working with practices in virtually all medical specialties we typically review and evaluate the current list of billable procedures to develop a tailored solution and routinely identify new revenue opportunities.
 
With over 20 years of medical billing experience, EMMG will boost your revenue collections and improve your bottom line. We have the ability to integrate with most EHR systems including ADS, ECW, Epic, Practice Fusion & more. Customizable reporting packages structured to your needs allow you to quickly review the health of your business and get back to seeing more patients.
 
Our services allow clinicians and their staff to focus solely on the delivery of outstanding care. For more information on our unique services and packages click here or give us a call at 516-338-5300. Our dedicated team will be happy to answer any questions you may have.

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3000 Heampstead Turnpike, Levittown, New York 11756

Tel: 516-338-5300