Medical Credentialing

Providing Personalized Medical Credentialing Services in the USA

Providing Personalized Medica Credentialing Services in the USA

Modality Revenue Solutions stands as the best company for medical credentialing services in the USA. Every physician or healthcare provider will get a personalized solution to maintain their revenue cycle. Our dedicated managers will go through the entire process of medical credentialing services. We help our clients get a complete solution from precise enrollment to primary source verification and insurance claims. With ongoing support, our experts will help you get regular audits to resolve any conflicts and streamline your revenue collection.

  • NPI Registration: Our medical billing experts can perform both Type I and Type II NPI registrations for smooth processing.
  • Hospital Privileges: No need to worry if you belong to affiliated hospitals, as we will help you get yourself registered properly. We will help you scale your practice and patient care capacities with smooth registration.
  • Compliance with NCQA Standards: At Modality Revenue Solutions, we strongly follow the National Committee for Quality Assurance standards. Our team ensures that nothing goes off track for the smooth progress of your healthcare facility.

Get a Free Credentialing Audit

    Get a Free Credentialing Audit
    Modality Revenue Solutions
    What Makes Us Different

    Time Efficient Services with 24/7 Availability

    Unlike other organizations, we are highly compassionate about timely processing of medical credentialing services.

    Our experts are devoted to reducing the credentialing time from months to weeks or even a few days. You can easily track your application status with 24/7 access to our online platform or contact our customer support for any inquiries.

    Our main goal is to focus on expanding your practice facility and improving your business revenue.

    HIPAA Compliant Badge
    100%
    BBB A+ Rating
    98%
    NCQA Compliant Process
    100%

    Our Comprehensive Medical Credentialing Services for Physicians

    At Modality Revenue Solutions, we don’t offer general services like medical coding. You can get a comprehensive solution from our experts related to medical billing credentialing services. Check our major services from this department in the field.

    1

    Provider Enrollment

    Our professionals can cover the entire provider enrollment process for adding new providers and group practices effectively.
    2

    Re-Credentialing

    We will help you maintain payer compliance with timely renewal and data validation from your system.
    3

    Primary Source Verification

    We can perform deep verification of education, licenses, and certifications to meet the hospital board standards.
    4

    CAQH Profile Maintenance

    Our experts are highly qualified in maintaining your Council for Affordable Quality Healthcare profile with proper data collection.
    5

    Medicare Revalidation

    No worries about cancellation or delays in federal payments when we are here for PECOS revalidation.
    6

    Application Tracking

    We offer you real-time tracking to check the credentialing progress and payer responses to our request.
    The MRS Advantage:

    Why Outsourcing Wins

    Feature

    In-House Credentialing

    MRS Medical Credentialing Services

    Turnaround Time

    120 – 180 Days (Average)

    90 – 120 Days (Optimized)

    Error Rate

    High (leads to application rejection)

    Forensic Review (<1% Error Rate)

    Deadline Tracking

    Manual / Spreadsheet-based

    Automated Alerts & Proactive Filing

    Payer Relationships

    Limited

    Deep, National Payer Network Access

    Admin Burden

    Heavy burden on office staff

    Zero-Friction Outsourced Model

     

    Whom We Serve

    Guaranteed Solution for Every Healthcare Provider

    Whether you are looking for medical credentialing services as a government-authorized payer or a commercial organization, we are here to serve you with a guaranteed solution to maintain your business revenue collection.

    Ambulatory Surgery Centers (ASCs)

    Choose Modality Revenue Solutions for medical credentialing services in the USA for your ASC facility.

    Multi-Specialty Health Facilities

    You can hire us for reliable services related to medical billing for your multi-specialty healthcare facility.

    Healthcare Startups

    Starting your healthcare clinic? Choose us for effective medical billing credentialing services in the USA.

    Locum Tenens & Temporary Staffing Agencies.

    Why Healthcare Organizations Choose Modality Revenue Solutions

    A large proportion of the USA prefers choosing Modality Revenue Solutions for guaranteed medical credentialing services.

    With 80% cost reduction, we can help your organization in credentialing with AI automations. You will get real-time CAQH updates, which will help you streamline the provider onboarding process.

    Our experts are highly proactive and ensure that no errors are left in credentialing services by validating data against 1500+ primary source rules. With high accuracy and business growth focus, our goal is to reduce credential-related claim denials.

    Choose us today to streamline your healthcare facility’s revenue cycle in the USA.

    Why Healthcare Organizations Choose Modality Revenue Solutions
    years of experiences
    Clean claims. Faster cash. Smarter care.
    We adapt our delivery to the way your work, whether as an external provider.

    Specialities

    Neuorology

    Orthopedics

    Podiatry

    Cardiology

    Nephrology

    Psychiatry

    Primary Care

    Endocrinology

    Internal Medicine

    Pain Management

    Infectious Disease

    Onboarding Process

    How We Proceed With Medical Credentialing Services

    Thorough Audit
    We will properly audit to check your current enrollment status and renew any missing or expired credentials.
    01
    Documents Collection
    We will keep everything secure by collecting licenses and certifications of all service providers.
    02
    Application Processing
    We will create error-free applications and process them to target commercial or government payers.
    03
    Regular Follow-Up
    Our team doesn’t wait for payers but makes follow-up calls to speed up the process of revenue collection.
    04
    Timely Maintenance
    At Modality Revenue Solutions, we keep an eye on profiles and monitor the expiry dates properly to renew them.
    05
    Smooth Integration With Every System
    EHR Compatibility

    Smooth Integration With Every System

    We ensure that your medical credentialing data remains synchronized across all major platforms and software. Here are some of the most common platforms we focus on;

    • eClinicalWorks
    • Office Ally
    • NextGen
    • AthenaHealth
    • Carecloud
    • Epic
    Testimonial

    What Our Clients Say

    Trusted by physician practices and healthcare organizations nationwide for accuracy, responsiveness, and results.
    FAQs

    Frequently Asked Question

    This service package includes verification of licenses, certifications, and professional history of every healthcare provider to avoid conflicts during insurance claims.
    Normally, it can take 2 to 4 months, depending on the payer responses or verification. However, you can speed up the process by choosing experts for medical credentialing services from Modality Revenue Solutions.
    Yes, you can get these services regardless of what level of healthcare facility you are in. We will help you get top-notch services without considering the scale of your business.
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