Provider Credentialing Services
Our credentialing specialists work as an extension of your team, providing expert Credentialing Services to ensure every application is complete, verified, and submitted correctly the first time.
Core Services & Capabilities
End-to-end provider onboarding & revenue management
Enrollment
Payer onboarding
Revalidation
Payer renewal
Verification
Primary source check
Transparency
Real-time tracking
Compliance
NCQA standards
Medical Billing
RCM integration
Payment Posting
Auto reconciliation
Denial Management
Claims recovery
What We Do
Your dedicated account manager and provider portal give you complete transparency and control over all Medical Credentialing Services activities, timelines, and outcomes.
Provider Enrollment
Coordinate with Medicare, Medicaid, and commercial payers to onboard new providers and group practices efficiently.
Re-Credentialing
Maintain payer compliance through timely renewals and data validation.
CAQH Maintenance
Keep profiles current with continuous monitoring and attestations.
Application Tracking
Real-time visibility into credentialing progress, milestones, and payer responses.
Our Comprehensive Suite of
Physician Credentialing Services
Government Program Enrollment
Medicare and Medicaid Provider Enrollment
Ensure you can offer services to eligible beneficiaries under these crucial government programs
Medicare DMEPOS Enrollment
Specialized support for providers offering durable medical equipment, prosthetics, orthotics, and supplies
Commercial Insurance Credentialing
Our physician credentialing services are seamlessly integrated across major payers.
Physician credentialing services with expert contract negotiation to secure favorable terms and maximize reimbursement rates.
Essential Registrations
NPI Registration
We handle both Type I (Individual providers) and Type II (Organizations) registrations
CAQH Profile
We create and maintain your Council for Affordable Quality Healthcare (CAQH) profile, simplifying data collection for participating health plans
PECOS Portal
We manage your Medicare Provider Enrollment, Chain, and Ownership System (PECOS) portal
Licensing and Certification
State License Application and Renewal
We certify compliance with regulatory frameworks in specific jurisdictions
U.S. DEA Certificate
We enable healthcare providers to prescribe and handle controlled substances
CLIA Registration
We guide you through compliance with federal quality standards for laboratory testing set by the Clinical Laboratory Improvement Amendments (CLIA)
Hospital Privileges
We offer a streamlined application process for affiliated hospitals, expanding your scope of practice and patient care capabilities.
Ongoing Support
Revalidation and recredentialing: Maintain your active status with payers, reimbursement issues audits. We identify and resolve issues affecting your revenue cycle.
Compliance with NCQA standards: Adherence requirements for National Committee for Quality Assurance (NCQA) standards.
Ready to Streamline Your Credentialing?
Let MD Point handle your credentialing so you can focus on what matters most.