RevOps manages the process of applying for in-network status with insurance companies. Medical licensure must be obtained by the provider and be active prior to the effective date of this agreement, or services being delivered by Consultant. Delays in obtaining necessary documentation from provider, including medical licensure, personal data, portal passwords, and/or requested documentation, shall not impact payment for services selected. Timeframe for credentialing varies by payer, estimating between 30-120 days.

• Medicare & Medicaid Enrollment

• CAQH Review and Registration

• Maintenance and on-going credentialing support

• Commercial insurance credentialing.

Supporting small practices, with 1-3 providers, we can handle all of your medical billing needs. By processing claims through your EMR system or directly with the payors, we have a billing package that will accommodate your practice based on your monthly claims volume. Packages include unlimited support and assistance to include:

• Insurance Verification training and questions

• Billing and coding education

• Charge entry, claim submission, payment posting

• A/R Management, claim denial and appeal management

• Patient billing

RevOps will assess all functions and processes including practice management, revenue cycle management, staffing and training needs, to increase revenue and reduce operational costs.  Complimentary one (1) hour session to review client requests and needs.

• Practice Operations Assessment: Understanding the unique needs for your practice, we can offer a personalized plan to help identify areas of opportunities, increase revenue, and identify threats and weaknesses. 

• Staff Recruitment: Screening and interviewing candidates is time consuming, and often difficult to screen for the desired skill sets. We can handle the sorting and screening of candidates to make your selection process much more efficient and promising. 

• Training: It is important for you and your staff to understand all aspects of operations, medical billing, workflows and processes. Team knowledge and understanding of all areas impacts  staff evaluation and accountability, informed decision making, and assurance of practice financial health. We can help train you, your manager or your office staff. 

• Revenue Cycle Optimization: We review and assess your entire visit cycle through reimbursement of claim. The different stages of an encounter directly impact clean claim submission and reimbursement within 14-30 days.