Medical Credentialing

& Insurance Contracting 

A fast solution to the complex tasks  related to Credentialing, Payor Enrollment, Licensing & Rate Negotiation

ABOUT US

Credentialing Management Group is a leading practice management company, delivering provider enrollment and credentialing, and medical licensing services. We work with physician groups of all types and sizes, MD, DO, DC, NP, PA PT, OT, SLP,  hospitals, ASCs, Government contracting, diagnostic testing facilities, urgent care centers, behavioral health, and other medical providers respectively.


Our team is focused on integrity, commitment, confidentiality and industry knowledge. In a nutshell, we provide high quality, flexible healthcare consultancy. We are experienced leaders with more than 15 years combined experience in the industry. This experience base allows us to offer our clients the various levels of management services on an as-needed basis to ensure clients receive the most appropriate advice and services in a highly cost- effective industry. Whether clients wish to outsource their credentialing enrollment function to us or have us initiate the contract negotiation fees with the various health plans, supervise the on-going credentialing activities, or provide services on an as-needed basis. We have the staff to ensure the provider enrollment & contracting functions are taken care of at minimal expense.


We trust in our services Credentialing Management team can help bring your

clinic or care center to market.

 
 

CREDENTIALING AND CONTRACTING

Credentialing Management Group, LLC knows that today’s providers must participate in numerous provider networks and with a multitude of insurance carriers.  As a result of our proactive approach, we ensure that your initial applications for participation and contracting are completed correctly and that your renewal forms are updated properly and submitted on time.

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CREDENTIALING AND CONTRACTING

Credentialing Management Group, LLC knows that today’s providers must participate in numerous provider networks and with a multitude of insurance carriers.  As a result of our proactive approach, we ensure that your initial applications for participation and contracting are completed correctly and that your renewal forms are updated properly and submitted on time.

CREDENTIALING AND CONTRACTING SERVICES INCLUDE

1

Retrieval of all information needed for the credentialing and contracting process.

2

CAQH, PECOS, data reformatting to accommodate various forms used by carriers, hospitals, and other healthcare organizations

3

Submitting the applications and renewals in a timely manner, inform about upcoming renewals.

4

Assistance with re-negotiating current contracts

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HOW TO GET STARTED

Start a Live Chat by clicking on the Chat icon lower right.

Book a session or request for a proposal by filling out the form on Contact Us Page. 

CLIENT STORY & TESTIMONY

"CMG's knowledge of the healthcare payor landscape spans across all medical specialties and organizational settings. Their innate ability to analyze information, develop a partnership approach with payors, and understand the realities of the managed care marketplace make them an indispensable ally.  Consequently, should I ever need to contact a consultant to assist with any managed care assistance, they would be on the top of the list!”

Akukeng Mba, CRNP
Diversity Health Clinic, LLC

OUR PARTNERS

Aligning ourselves with business partners that offer the same high level of service, integrity and
comprehensive healthcare solutions is the cornerstone of our business model and complements our
mission to serve our clients in the most efficient way.

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