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Fast Track Credentialing & Contracting Services

Streamline all your Credentialing, Verification and Contracting procedures

Trusted by 100+ physicians

Catering to
30+ Specialties

HIPAA Full
Compliance

96+ First Level Acceptance

20% Revenue
Increase

Why Choose Our

Medical Credentialing Solutions

Our streamlined medical credentialing solutions are designed to save you time and reduce hassle. We specialize in expediting the credentialing process for healthcare providers, ensuring accuracy, compliance, and quick approvals. From hospitals and urgent care centers to specialty practices, our solutions cater to all provider types, enabling seamless payer enrollments and network participation. Trust us to handle the complexities of credentialing while you focus on delivering exceptional patient care.
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RCM Works – Your Go-To Partner in Credentialing and Beyond

Maximize your payer affiliations with our expert medical credentialing services.

Ongoing Follow-ups

We monitor the credentialing process closely from beginning to end, ensuring every step is completed accurately and on time.

Capable experts

Dedicated experts are assigned to assist you in securing affiliations with payers, ensuring a smooth and efficient enrollment process.

Minimum Paperwork

Our experts handle the entire process, eliminating the need for you to deal with paperwork, ensuring a hassle-free experience from start to finish.

Compliance & Regulations

We guarantee adherence to the most current healthcare industry standards and regulations, safeguarding your practice's integrity and reputation.

Process We Follow

Provider/Group Credentialing

It all starts with carefully reviewing and verifying your documents to attest they are accurate and meet all the necessary requirements. We ensure that your application is properly credentialed and compliant with both state and federal regulations so you are able to provide high-quality services while meeting all necessary requirements.

Contracting & Negotiations

Navigating the complexities of securing favorable contracts and maximizing compensation can be challenging. Our team of reimbursement experts will negotiate on your behalf to ensure the most successful outcomes, including focus on contract crafting and ultimately, the attainment of the highest reimbursement rates for you.

Provider Linkage

The provider linkage process is an important part of ensuring the safety and quality of care in the healthcare system. By linking providers’ credentials to their NPI, the plan and provider can more quickly and easily verify the provider’s qualifications and ensure that they are authorized to provide care.

CAQH Maintenance

Imagine a world where CAQH maintenance is a breeze – where updates and verifications happen seamlessly. We make this possible by automating your entire CAQH process, ensuring that all provider’s profiles are up-to-date and compliant. Our team efficiently manages credentialing information, and resolves any issues that may arise.

License Renewals

This process involves securing a state license for providers, with our expert team assisting by managing care records, submitting CME certificates, documenting health status, and disclosing any disciplinary actions.

EDI

We streamline and automate the entire EDI, ERA, and EFT setup process for seamless electronic data interchange for claims, eligibility, and payments. This brings efficiency, accuracy, and financial optimization that come with it.

Follow Ups

Follow-ups are the most crucial part if you want to get things done on a fast track. Our team ensures to be on the weekly basis to stay on the game while keeping you well informed on your applications.

Add-on Services

ADDING PROVIDERS

We recognize that it may take 90-180 days to have your provider credentialed, and our credentialing team is committed to submitting all required materials quickly to ensure timely enrollments.

PRACTICE CONSOLIDATION

Although new providers may be credentialed under their previous practice, certain requirements still need to be met if the provider is new to the practice. This Step ensures timely payments from insurers.

MOVING / ADDING PRACTICE LOCATIONS

Our demographic change services can complete the necessary paperwork to update physician credentials with any payer.

STAFF TIME CONSTRAINTS

Provider employees often are responsible for credentialing while juggling other tasks. Let us take over this workload so they can focus on other tasks.

EXPANDING PAYER NETWORK

Adding additional payers to the mix can increase the client base for practices by accepting additional insurances, and our team can help make it a painless process.

RE-CREDENTIALING CURRENT PROVIDERS

If you’re building a business, providers must be re-credentialed as part of a merger or acquisition. Get it done quickly with the help of our experts.

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Contract Negotiation

Negotiating contracts with insurance providers is a critical step in ensuring that your practice receives fair reimbursement rates while maintaining compliance and efficiency. At RCM WORKS, we specialize in navigating the complexities of payer agreements to secure terms that align with your practice’s goals.

Helping Healthcare Organizations Thrive

A Testament to our Satisfactory Services

T.L. Martin

Practice Manager
Last Minute Health Check PLLC
We got off to a rocky start with RCM. However, Myles has taken the lead and the process seems to be getting worked out. I look forward to continued improvements.

David Stewart

Office Manager
Austin, Texas
I used RCM works for credentialing my company with insurance payers. I have been satisfied with the assistance and communication with my credentialing specialist, Claire.

Brandon Goldwater

Medical Assistant
Orlando, Florida
RCM helped us with our credentialing process. They communicated clearly throughout the process, were priced fairly, and overall we had a positive experience using them.
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