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.
Our Specialties
Accomplish Rapid Growth
Billing complications slow down operational efficiency. Get rid of the hassle with our qualified billing experts and boost your revenue
Get a QuoteHospital 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.
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.
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.
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.
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.
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![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
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![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.
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![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.
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![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.
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![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.
Data Entry
Primary Source Verification
Document Verification
Application Evaluation and Data Scrubbing
Credentialing
Certification
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.
Maximize Revenue
Are the lost revenue from claim denials costing your practice more than you realize? MedsIT Nexus' revenue cycle analytics helps healthcare organizations identify billing errors, minimize denials, and maximize reimbursements.
Turn insights into income!
Streamlines Claims Processing
Slow and error-prone claims can drain your revenue. MedsIT Nexus' RCM Analytics empowers healthcare providers to streamline claims submission, reduce errors, and expedite reimbursements with precision-driven insights.
Eliminate Claim Bottlenecks!
Lowers Denial Rate
High denial rates mean lost revenue and delayed payments. MedsIT Nexus’ RCM Analytics helps healthcare providers identify and eliminate the root causes of claim denials, ensuring more claims are approved on the first submission.
Prevent denied claims!
Data-Driven Decision Making
In healthcare, smart decisions drive financial success. MedsIT Nexus’ RCM Analytics transforms complex data into actionable insights, helping providers optimize revenue, reduce inefficiencies, and enhance financial strategies with confidence.
Transform data into Results!
Compliance Risk Mitigation
MedsIT Nexus’ Revenue Cycle Analytics provides real-time compliance monitoring, ensuring that your billing and coding practices align with the latest industry standards to safeguard your revenue and reputation.
Compliance made simple!
Financial Performance
In today’s fast-evolving healthcare landscape, financial stability is crucial. MedsIT Nexus’ Revenue Cycle Analytics empowers healthcare organizations with actionable insights to optimize revenue streams, reduce costs, and enhance long-term RCM performance.
Make smarter financial decisions!
Financial Performance
In today’s fast-evolving healthcare landscape, financial stability is crucial. MedsIT Nexus’ Revenue Cycle Analytics empowers healthcare organizations with actionable insights to optimize revenue streams, reduce costs, and enhance long-term RCM performance.
Make smarter financial decisions!
Experience Effortless Credentialing with MedsIT Nexus!
Paperless Credentialing Process
Eliminates paperwork, streamlining credentialing with automation for faster approvals, improved accuracy, and regulatory compliance.
Cost-Effective Solutions
Reduces administrative workload and automates credentialing, helping healthcare facilities lower costs while ensuring compliance.
Faster Claims Resolution
Accurate credentialing minimizes claim errors, accelerates approvals, and ensures timely reimbursements, improving cash flow.
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.
93%
72%
94%
80%
Doctors lose up to
$125Billion 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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Get 3 Free Credentialing Applications
Our Credentialing Experts Ensure Faster Approvals & Compliance
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.
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Our services are trusted by 2000+ providers
Dr. Ndidi Uka
A-plus Dentistry
"I want to thank MedsIT Nexus for their impeccable service. They are incredibly knowledgeable and work to make sure you receive the maximum reimbursement. Sam, my dedicated Practice Manager, is always available to answer my questions and keep my abreast on the status of my submitted claims. Being able to bill medical services has allowed me to offer the best care."
M. Techeira
Family Medicine
"We are an outpatient family medicine/ primary care practice. Have offices in NYC and Nassau County. MedsIT Nexus handles all our medical billing and insurance claims. We switched from another company and the process was hassle free, no fees and FAST which was important since we operate 6/7 days. They are always available to answer any questions. We definitely recommend!"
Memoona Waheed
Family Medicine & Pain Management
"After reviewing different medical billing companies, I came across MedsIT Nexus. Not only do they offer billing and coding services, but specialize in credentialing and unpaid claims. Their staff is knowledgeable, professional and are easily accessible- inquiries are answered quickly. Thank you MedsIT Nexus for helping us improve our healthcare practice at a competitive rate!"
S. Dhillon
Physical Medicine & Rehabilitation
"I am the manager at a private physical medicine & rehabilitation practice. We operate in 2 different boroughs in NYC through multiple clinics. MedsIT Nexus handles all our medical billing, coding, denials and prior authorizations for all procedures. We are pleased with their same day approvals as well. Their staff is easily accessible, fast & pleasant to work with."
Dr. Ndidi Uka
A-plus Dentistry
"I want to thank MedsIT Nexus for their impeccable service. They are incredibly knowledgeable and work to make sure you receive the maximum reimbursement. Sam, my dedicated Practice Manager, is always available to answer my questions and keep my abreast on the status of my submitted claims. Being able to bill medical services has allowed me to offer the best care."
M. Techeira
Family Medicine
"We are an outpatient family medicine/ primary care practice. Have offices in NYC and Nassau County. MedsIT Nexus handles all our medical billing and insurance claims. We switched from another company and the process was hassle free, no fees and FAST which was important since we operate 6/7 days. They are always available to answer any questions. We definitely recommend!"
Memoona Waheed
Family Medicine & Pain
" After reviewing different medical billing companies, I came across MedsIT Nexus. Not only do they offer billing and coding services, but specialize in credentialing and unpaid claims. Their staff is knowledgeable, professional and are easily accessible- inquiries are answered quickly. Thank you MedsIT Nexus for helping us improve our healthcare practice at a competitive rate!"
S. Dhillon
Rehabilitation
" I am the manager at a private physical medicine & rehabilitation practice. We operate in 2 different boroughs in NYC through multiple clinics. MedsIT Nexus handles all our medical billing, coding, denials and prior authorizations for all procedures. We are pleased with their same day approvals as well. Their staff is easily accessible, fast & pleasant to work with."
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