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HealthCare Credentialing Services

Credentialing and enrollment are time-consuming processes due to complicated payer compliance requirements. These complexities lead to errors in documentation and rejections, disrupting revenue streams. MedsIT Nexus is a full-service medical billing and credentialing company equipped with experienced professionals who simplify the processes for hospital facilities and physicians, allowing them to bill insurers confidently.

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Medical Billing Services - MedsIT Nexus

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10%

Increase in Cash Flow

30%

Days in AR

90+

Specialties Served

98%

New Collection Rate

Hospital Credentialing Services

MedsIT Nexus credentialing experts excel in streamlining the process of facility-level evaluation and verification against regulatory standards. With exceptional institutional billing audits, we verify every component of your organization, including their equipment suppliers and vendors, private authorization, infrastructure and services, and insurance reimbursements, ensuring that the organization meets the required criteria to provide top-notch medical care.

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Hospital Vendor Credentialing Services

MedsIT Nexus provides complete hospital credentialing services, ensuring compliance with state-specific vendor credentialing laws. Regulations vary by state, requiring tailored verification for medical suppliers and pharmaceutical organizations to prevent unauthorized access. Our process upholds both federal and state standards, enhancing patient safety and operational efficiency while mitigating risks in hospital environments.

Hospital Provider Credentialing & Privilege Management

Hospital provider credentialing ensures that physicians, nurses, and specialists meet regulatory standards before practicing in a hospital. By verifying education, licensure, and work history, we help hospitals maintain quality care, enhance patient safety, comply with CMS and TJC requirements. Our seamless process reduces risks for hospital-based providers, resulting in higher patient volume and increased revenue.

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Physician Credentialing & Enrollment

MedsIT Nexus is equipped with experienced credentialing professionals who expertly complete the process of primary source verifications with great precision, from medical education to licensure and board certifications. This allows physicians to gain access to the privileges, networks, and opportunities they deserve quickly and hassle-free. Our healthcare credentialing services cover a broad spectrum of medical specialty doctors, getting them partnered with the major insurance networks, including Medicare and Medicaid, to start serving patients and getting reimbursed right away.

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Non-Physician Credentialing

Non-physician credentialing can be complex due to varying state regulations, diverse roles (PAs, NPs,) and the need for accurate verification of certifications, licenses, and supervision agreements. Improper or incomplete credentialing can lead to claim denials, compliance issues, and potential revenue loss. MedsIT Nexus simplifies this process with our expertise in handling all credentialing types, ensuring compliance with regulations and seamless approvals. We excel in Medical Staff Credentialing and physician Assistant Credentialing, offering tailored solutions that save time, reduce errors, and streamline provider onboarding for healthcare organizations.

Group Practice Credentialing

Medical credentialing is a critical step for both private and affiliated practices, ensuring compliance and uninterrupted patient care. Private practices struggle with time-consuming processes and administrative overload, while affiliated practices face complex coordination and frequent provider turnover. A streamlined credentialing approach—leveraging automation, compliance tracking, and expert management—can eliminate delays and errors. Outsourcing to credentialing professionals helps practices maintain efficiency, meet regulatory demands, and accelerate provider onboarding.

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Step-by-Step Medical Insurance Credentialing Process

Non-credentialed providers may struggle to offer their services in hospitals. They may experience administrative issues when dealing with credentialing without expert assistance. Avoid the hassles with MedsIT Nexus`s reliable credentialing services, which are designed to assist providers in offering quality patient care and getting faster reimbursements.

  • Comprehensive Data Management Provider credentials are meticulously recorded, maintained, and archived for seamless accessibility.
  • Tech-Driven Efficiency Advanced technology ensures a smooth and error-free credentialing process.
  • Scalable for All Providers Designed to adapt to any practice size, from solo practitioners to large hospitals.
  • Authenticity Assurance Coordination with educational institutions and licensing bodies ensures the legitimacy of the provider’s credentials
  • Regulatory Compliance DEA verification of the provider’s training guarantees adherence to industry regulations.
  • Thorough Background Check A detailed review confirms the credibility of all submitted documents.
  • Enhanced Credibility Strict verification of documents ensures that only qualified providers are credentialed.
  • Regulatory Compliance Cross-referencing with AMA Profiles and medical schools helps meet payer and industry standards.
  • Thorough review minimizes discrepancies, reducing the risk of claim denials and delays.
  • Eliminate Claim Denials Verify upfront patient coverage to avoid costly billing surprises
  • Faster Reimbursements Reduce delays by ensuring correct insurance details before services are rendered
  • Enhanced Patient Experience Ensuring transparency on coverage and out-of-pocket costs
  • Accurate data scrubbing ensures successful enrollment in insurance directories.
  • Verification through CAQH, Availity, PECOS, Optum, and ePaces streamlines the credentialing process.
  • Expert handling of the entire process allows providers to focus on patient care with confidence.
  • We periodically re-credential providers to maintain compliance and ensure their continued credibility.
  • Our experts utilize the latest credentialing software to efficiently manage and update provider records.
  • We assist providers in organizing and submitting necessary documents to insurance carriers for hassle-free approvals.
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  • Data Entry Data Entry

    Our systematic credentialing process starts with recording the provider's information. Whether you are an entire hospital, outpatient facility, multi-hospital, or solo practitioner, our experts carefully organize, maintain, and archive the important data. Credentialing lays the foundation to build providers' trust in the stakeholders. Therefore, our workforce utilizes innovative technologies to ensure every provider undergoes the process.

  • Primary Source Verification Primary Source Verification

    MedsIT Nexus credentialing experts run a background check by coordinating the educational institutions and licensing bodies. This guarantees the authenticity and credibility of the documents shared by the provider. If required, we also verify the DEA (Drug Enforcement Administration) about the provider`s training to ensure compliance

  • Document Verification Document Verification

    Employing qualified staff is crucial to high-quality patient care. Therefore, our team strictly verifies the documents before sending them to payers. We also cross-reference resumes and applications with AMA Profiles and medical schools. The process is time-consuming but MedsIT Nexus carefully performs it to ensure every physician is credible and compliant to regulatory standards.

  • Application Evaluation and Data Scrubbing Application Evaluation and Data Scrubbing

    We carefully verify and submit the details to the payer for next-level verification. These include providers` active licenses, DEA training, PLI and NPI, etc. If everything is clear and no further info is required, the payers send the documents for the next enrollment phase. This is a hectic process that requires proper followthrough, our experts remain intact with payers until the final stage to help providers get credentialed.

  • Credentialing Credentialing

    Once the Data Scrubbing is completed through online portals (i.e., CAQH, Availity, PECOS, Optum, ePaces, etc.) or Mailed/Faxed documents, the provider/group can successfully be credentialed in the insurance system/directory. The MedsIT Nexus expert team efficiently handles every stage of the process on providers' behalf to keep them away from the hassle and allow them to practice with full confidence.

  • Certification Certification

    After the successful completion of the credentialing process, We re-credential the provider to ensure his accuracy and credibility. Our experts use latest the credentialing software to assist the providers in recording important documents and their submission to the insurance carrier. MedsIT Nexus empowers healthcare organizations by simplifying the time-consuming process.

Empowering Providers with Smooth Credentialing

Discover accurate credentialing with MedsIT Nexus's innovative portal. Thecredentialing offers a quick way for providers to include their details and get credentialed.

Experience Effortless Credentialing with MedsIT Nexus!

Paperless Credentialing Process

Paperless Credentialing Process

Eliminates paperwork, streamlining credentialing with automation for faster approvals, improved accuracy, and regulatory compliance.

Cost-Effective Solutions

Cost-Effective Solutions

Reduces administrative workload and automates credentialing, helping healthcare facilities lower costs while ensuring compliance.

Faster Claims Resolution

Faster Claims Resolution

Accurate credentialing minimizes claim errors, accelerates approvals, and ensures timely reimbursements, improving cash flow.

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Efficient and Accurate

MedsIt Nexus credentialing services reduce the need for lengthy paperwork. We offer thecredentialing portal for a faster and more accurate credentialing process, to maintain and secure providers' records. It brings fruitful opportunities like cutting extra costs and resolving claims.

Non-Pediatric care Physicians

93%

New patients

72%

Private insurance

94%

Private patients

80%

Doctors lose up to

$125

Billion in U.S


Because of poor billing practices

Experience our secured
medical billing services
for as low as 2.69%
2000+

Healthcare providers trust MedsIT Nexus
medical billing services company

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Our Credentialing Experts Ensure Faster Approvals & Compliance

Streamlined Provider Enrollment & Payer Contracting
Ensuring Compliance with Regulatory Standards
Faster Credentialing for Reduced Revenue Delays
Secure & Accurate Provider Data Management

Providing Advanced Credentialing Solutions for Modern Healthcare Providers

MedsIT Nexus empowers data-driven credentialing and enrollment for improved patient access and faster time-to-revenue

Providing a Nation Wide Medical Billing & Credentialing Services.

Our remote medical billing options are available at your nearest location

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