Credentialing & Billing Contracts
Credentialing & Billing Contracts
At PFS Integrated Healthcare Solutions, we offer comprehensive credentialing and billing contract services to ensure that healthcare providers can focus on delivering exceptional patient care while we handle the administrative complexities. Our expertise in credentialing, provider enrollment, and medical billing helps streamline operations and maximize revenue.
Credentialing & Provider Enrollment
We assist healthcare professionals and organizations with:
Provider Credentialing & Re-Credentialing
Ensuring compliance with insurance networks and healthcare regulations.
CAQH Registration & Maintenance
Keeping provider profiles updated and accurate.
Medicare & Medicaid Enrollment
Navigating the enrollment process to ensure timely approval.
Commercial Insurance Paneling
Contracting with major insurance providers for network participation.
NPI & Taxonomy Registration
Setting up or updating your National Provider Identifier and specialty classifications.
Billing & Revenue Cycle Management
Our billing solutions are designed to optimize reimbursement and reduce claim denials:
Claims Submission & Follow-Up
Ensuring timely filing and reducing rejections.
Insurance Verification & Authorization
Confirming patient coverage before services are provided.
Denial Management & Appeals
Resolving rejected claims efficiently to recover lost revenue.
Payment Posting & Reconciliation
Accurately tracking payments and outstanding balances.
HIPAA-Compliant Billing Services
Ensuring patient data security and compliance with federal regulations.