Credentialing is a complex process requiring extensive documentation and verification to join insurance networks. A single error or missing form can delay your enrollment, leading to revenue loss and restricted access to network patients.
Mark Med Center is your trusted partner in physician medical credentialing services. We simplify the process so you can focus on patient care. From primary source verification to premium network enrollment, our credentialing experts handle every task efficiently.
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Comprehensive Medical Credentialing Services
Since 2012, Mark Med Center has helped healthcare providers streamline credentialing and enrollment with a 95% success rate. Our tailored services ensure smooth navigation of this process, saving you time and reducing administrative burdens. We cater to healthcare providers across all specialties and sizes.
Key Credentialing Services:
1. MCR DMEPOS Enrollment
We assist providers in Medicare Carrier Requests and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (MCR DMEPOS) enrollment. This ensures you can deliver essential services and receive Medicare reimbursements.
2. Commercial Insurance Credentialing
Credentialing with commercial payers like Humana, Cigna, and Aetna requires accuracy and efficiency. We collect and organize all necessary documents—licenses, certifications, and training records—to ensure prompt approval and network inclusion.
3. Revalidation & Re-Credentialing
Credentialing compliance requires regular revalidation (every five years) and re-credentialing (every three years). We manage this process for Medicare, Medicaid, and commercial insurers, updating all practice demographics to prevent delays or penalties.
4. CAQH Registration and Maintenance
We maintain provider profiles on the CAQH Provider Data Portal, streamlining credentialing with multiple insurers to ensure operational efficiency.
5. Medicare & Medicaid Enrollment
We handle the complexities of enrolling providers in Medicare and Medicaid, the largest U.S. insurance programs, enabling you to expand your patient base and increase revenue.
6. NPI Registration (Type 1 & Type 2)
Our credentialing specialists manage National Provider Identifier (NPI) registration, ensuring compliance and seamless claims submissions.
7. Hospital Privileges
We facilitate hospital privilege acquisition, enabling providers to admit and treat patients at affiliated facilities and expand their practice scope.
8. Contract Negotiation
We negotiate with insurers to secure favorable terms, maximum reimbursement rates, and seamless network inclusion.
9. Reimbursement Audits
Through detailed audits, we identify and resolve reimbursement issues, minimizing revenue loss and optimizing claims processes.
10. State Licenses & DEA Certificates
We assist in obtaining and renewing state licenses and DEA certifications to ensure compliance, competence, and liability protection.
11. CLIA Registration
We manage Clinical Laboratory Improvement Amendments (CLIA) registration for providers offering diagnostic tests, ensuring compliance and quality care.
Benefits of Outsourcing Credentialing to Mark Med Center
Improved Patient Care: Ensure quality and build trust through verified provider credentials.
Aggressive Follow-Up: Avoid delays by ensuring timely application processing and approval.
Error-Free Applications: Our experts meticulously prepare and submit your applications to eliminate delays and denials.
Our Credentialing Process
Document Gathering: Collecting licenses, certifications, and other required information.
Verification: Credentials are verified with issuing authorities.
Application Submission: Applications are accurately completed and submitted to payers.
Approval & Onboarding: We secure approvals, allowing you to focus on delivering care.
Supporting All Healthcare Practitioners
We provide credentialing services for a wide range of healthcare professionals, including:
Physicians
Nurses
Physical and Occupational Therapists
Clinical Psychologists
Dentists
Speech-Language Pathologists
Chiropractors, and more.
Ready to Streamline Your Credentialing Process?
Choose Mark Med Center for a seamless, efficient credentialing experience. We ensure fast enrollment, maximize your revenue by up to 30%, and help you focus on what you do best—providing exceptional care.
