Stay Compliant and Accelerate Provider Enrollment
with Maryland Medical Credentialing Services
At Maryland Medical Billing, we offer full-service medical credentialing and re-credentialing solutions for practices of all sizes in Maryland and across the USA.
About Maryland Credentialing Services
Maryland Billing offers excellent medical credentialing services to all healthcare professionals in the state. Everything from payer credentialing, compliance verification, and provider enrollment is taken care of by us for solo practitioners and health systems. Our experts not only manage your revenue cycle but also ensure the applications are accurate, and the approvals are faster, and compliance is full so that you are billing-ready in no time.
With us, you get a team of professional credentialing experts who know the ins and outs of CAQH applications, Medicare/Medicaid enrollment, and commercial payer requirements, and the team will help you get through all documentation with the utmost precision, while you get us really serious with our efficiency and accuracy so that you can spend more time with patients. It does not matter which area you are practicing in, be it primary care, behavioral health, specialty medicine or multi-location practices, we will customize our offerings according to the specific requirements of your providers.
Comprehensive Medical Credentialing
Services Tailored to Your Needs
Maryland Billing provides a comprehensive set of medical credentialing and enrollment services that will speed up your practice's revenue cycle, reduce enrollment waiting times, and ensure compliance.
Initial Provider Credentialing
We take care of new provider credentialing with the insurance companies completely, making sure that all the documents are correctly done and submitted on time.
Re-Credentialing & Renewals
Managing credential renewals proactively to sidestep the risk of losing billing rights and having payments interrupted.
CAQH Profile Management
Total CAQH profiles setup and further support to facilitate payer enrollment methods.
Medicare & Medicaid Enrollment
Expert handling of CMS PECOS enrollment, state Medicaid applications, and all required federal/state provider registrations.
Why Outsource Medical Credentialing Services?
Maryland Credentialing Services will take care of the complicated enrollment process allowing you to concentrate totally on giving out superb patient care. Outsourcing has become the smart option for the healthcare providers in Maryland due to the following reasons:
Faster Provider Enrollment – Perfect and prompt application helps us in cutting down the delays caused by credentialing thus getting the provider ready for billing sooner.
Reduced Administrative Burden – Your staff will be free as our credentialing team will take care of all the paperwork, follow-ups, and communication with the payers.
Expert Knowledge – Our experts are well-informed of the changing credentialing requirements and regulatory changes thus minimizing the risk of non-compliance.
Proactive Expiration Management – We keep a close eye on the expiration dates of all the credentials and take care of the renewals before the deadlines.
Dedicated Support Team – We have a team of credentialing managers and quality assurance staff who are responsible for the accurate processing of applications.
Comprehensive Tracking Systems – We have state-of-the-art credentialing software that keeps track of application, deadlines, and approval statuses in real-time.
Benefits of Our Medical Credentialing Services
The benefits of getting our medical credentialing services include:
Experienced credentialing specialists with deep payer knowledge- Complete CAQH profile setup and maintenance
- Faster provider enrollment and revenue activation
- Compliance with Medicare, Medicaid, and commercial payer requirements
- Dedicated credentialing team for continuous support
- Customized services tailored to your practice’s needs
- Proactive monitoring to prevent credential lapses
- A focus on improving your revenue cycle management
Experienced credentialing specialists with deep payer knowledge
Our Credentialing Process
At Maryland Medical Billing, we conduct an extremely careful and efficient medical credentialing process to guarantee the best service quality. Below is the workflow of our medical credentialing process:
Document Collection
We obtain all necessary provider documents such as licenses, certifications, DEA, malpractice insurance, and work history.
Verification
The whole team verifies credentials through primary sources to make sure of their accuracy and completeness.
Application Preparation
All payer applications, CAQH profiles, and enrollment forms are filled out by us with precise, and up-to-date information.
Submission & Follow-Up
We file applications with insurance companies and do persistent follow-up to speed up the process of getting approvals.
Approval & Activation
After approval, we verify the effective dates and make sure that the providers are active in billing systems for smooth claim submission.
Frequently Asked Questions (FAQ)
We credential physicians, nurse practitioners, physician assistants, therapists, counselors, and other healthcare professionals across all specialties.
Initial credentialing typically takes 90-120 days, though timelines vary by payer. We work diligently to expedite every application.
Yes, we set up and maintain CAQH profiles, ensuring all information is current and attestations are completed on time.
Contact us today to schedule a consultation. We'll assess your credentialing needs and create a customized plan for your practice.
Absolutely. We provide continuous monitoring, re-credentialing management, and support for any credentialing issues that arise.
Yes, all credentialing processes are fully HIPAA-compliant with secure document handling and data protection protocols.