Credentialing Services to Streamline Your Medical Billing

Efficient Medical Credentialing Services for Accurate Billing and Maximum Reimbursement

Stay Compliant and Avoid Costly Errors with Our Expert Credentialing Services.

Credentialing Services

At Acer health, we have a unique blend of highly talented and experienced credentialing professionals who will exceed your expectations with quality service that is a seamless extension of your business operation. We have credentialed more than 300 providers.

Your Challenge

Credentialing and provider enrollment experts know it takes a lot of time, organization, and detail. The organization can face serious reimbursement issues if the application is not updated and monitored reliably and conveniently. Dialing personnel can spend a lot of time in their day making unlimited calls to provider services. They will either hear calls dropped or leave a message that is never returned. For a practice, keeping track of all the provider credentialing requirements and paperwork can be quite overwhelming.

Our Service

Insurance companies require providers to update their credentials on a regular basis. If updates are not completed on time, claims may be denied.

We customize our services based on your needs. Below is a transient listing of many of our credentialing services offered:

  • New provider enrollment (All Payers/Multiple States)
    • Commercial insurance credentialing
    • Medicaid Provider Enrollment (including HMO’s)
    • Medicare Provider Enrollment (including HMO’s)
  • Professional License Renewal
  • PECOS/ I&A updates
  • Facility Privileging
  • NPI Registration (Type I and type II)
  • Demographic or Name Changes
  • Information about enrollment and registration for Preview (formerly CAQH)
  • Group & Individual Medicare Revalidation
  • Payer update requests for changes in demographic/provider data

Saifullah Nasir, MD, Stat Cardiologists, Chicago IL

At the beginning, we thought that the process of getting credentialed and submitting claims for payment would be a reasonable endeavor and something that a person with an MD could surely do. It took us about two months to realize we were wrong. Things started moving once Acer took over. Acer did a great job. Acer provides us an update on the status of all credentialing with detailed call notes and got us credentialed with 90% of the insurances within the first 4 months. I appreciate all the work by Acer.

Our Approach

Management is often unaware that provider credentials haven't been updated or invalidated with a specific payer. At Acer, we use a systematized set of verification protocols with every new client to make sure all provider credentials are precisely verified.

  • Expiration dates for all important provider credentials can are tracked and monitored
  • All providers credentials databases are organized and well maintained
  • The credentialing status for every doctor is provided to management
  • Our Credentialing experts personally take the time to contact each provider to authenticate the provider’s effective dates.
  • Group and provider data remain strictly confidential and are only released to authorized parties.

Benefits

Outsourcing credentialing has a lot of benefits:

  • Improved cash flow
  • Reduce the value of office supplies (paper, printer ink, etc.)
  • Faster responses to queries or issues
  • Reduce prices of training due to employee’s turnover
  • Eliminate accounting errors that delay the enrollment process
  • Accelerate revenue by permitting physicians to examine patients with certain payers more quickly
  • Reduce the amount of time you spend making phone calls, submitting applications, and dealing with emails and faxes.
  • Reduce in operation prices which may be up to 30-40% or more
  • Saves space by not having to store credentialing records/files
  • Improves turnaround time, usually within 60 days, by keeping the organization compliant with insurance payers.

Outsource your credentialing if you plan to. You can contact us for further information.