Credentialing Services
Credentialing you can trust. Convenience you can rely on.
When you need essential credentialing data, and you need it immediately, Simplexmed is here to help you.
As a leading source, our credentialing services provide comprehensive information and documentation. Our trusted and comprehensive data meet selected credentialing requirements of the Centers for Medicare and Medicaid Services (CMS).
Credentialing comes before even bill your first claim is submitted. Failing to manage the credentialing and contracting process will cause a loss in revenue. To most, credentialing is a long drawn out process, filled with completing applications, waiting on hold for provider relation representatives, and gathering lots of documentation. No worries! Here’s how we can help!
Credentialing Services Include:
Revenue Optimizer (RO)
We will optimize your revenue through practice web-portal development and online marketing, payout analysis.
Claim Preparation
Error-free claim preparation and validation based on information provided by the practice
Elec/Paper Claim Submission
Claims can be submitted either electronically or via paper mail where required
Credentialing Services
When you need essential credentialing data, and you need it immediately, Simplexmed is here to help you
Elec Data Interchange (EDI)
End-to-end encrypted data transfer between payers and providers along with electronic fund transfer (EFT)
Patient Services
Patient calls, itemized electronic and paper statements, and toll-free patient helpdesk
Reporting
Get all the relevant reports when you need them. Easy access to all reports with a single click
Coding Services
Provide services in implementation of ICD-10 & CPT codes, help in diagnosis and procedures
Payment Posting
Faster and accurate claim submission results in timely payment posting to the providers
A/R Management
Timely follow-up with the payers to assure timely payments to the provider
Denial Management
Minimal denials with active web based charge entry system
Meaningful Use
Meaningful use: is using (MU certified) electronic health record (EHR) technology