info@mdrevenuegroup.com (732) 790-0708

Credentialing Services

Get in-network with more insurances to get more patients and grow your business with MD Revenue Group.




At MD Revenue Group, we recognize the pivotal role that medical credentialing services play in the healthcare industry.
Our comprehensive credentialing services ensure that healthcare providers, including physicians, nurses, and other medical professionals, meet the essential qualifications and standards necessary to practice medicine and deliver exceptional care to patients.


1

Education and Training Verification

Our credentialing services meticulously verify the educational qualifications of healthcare providers, including their medical degrees, residency training, and any specialized training or fellowships they have completed. This rigorous process ensures that providers have received the requisite education and training to excel in their respective fields.

2

Licensure Verification

We confirm the active and valid licensure of healthcare professionals by collaborating with relevant state medical boards or licensing authorities. This verification process guarantees that providers have met all the legal requirements to practice medicine.

3

Work History and Professional References

MD Revenue Group conducts thorough investigations into the work history and professional references of healthcare providers. This includes verifying previous employment, assessing clinical competence, and obtaining references from colleagues or supervisors to gain insights into the provider's professional conduct and performance.

4

Malpractice History

Our expert team reviews a healthcare provider's malpractice history to identify any past legal or disciplinary actions. This critical step helps assess the provider's risk profile and ensures patient safety.

5

Board Certification Verification

If a healthcare professional claims to be board certified in a specific specialty, MD Revenue Group diligently verifies this information with the relevant certifying board. Board certification signifies that a provider has demonstrated expertise beyond basic licensure requirements.

6

Ongoing Monitoring and Re-Credentialing

Credentialing is not a one-time process. We ensure ongoing monitoring to guarantee that healthcare providers maintain their qualifications and adhere to professional standards. Periodic re-credentialing assures that providers stay current with their education, training, and licensure requirements.

7

Provider Enrollment

MD Revenue Group assists healthcare providers with the enrollment process for insurance companies, Medicare, Medicaid, and other third-party payers. This involves completing and submitting the necessary applications and documentation to become approved providers for reimbursement purposes.

Why Choose MD Revenue Group for Your Credentialing Needs?


Constant Communication: We believe in consistent follow-ups and provide real-time reports to keep you updated on the status of your credentialing applications.
Streamlined Processes: We pride ourselves on expedited initial submissions, maintaining a 99.9% clean submission record, and timely responses to insurance companies to avoid rejections.
Comprehensive Services: We offer a wide range of services, including initial credentialing, re-credentialing, contracting, licensing and renewals, malpractice insurance enrollments, DEA registrations, demographic updates, hospital privileges, and IPA enrollments.
Free Services: As part of our commitment to excellence, we provide free consultations, NPI registration assistance, CAHQ registrations and updates, and monthly CAQH attestations to prevent delays.
Contract Negotiations: MD Revenue Group leverages its expertise to negotiate contracts that secure better rates for your practice.
Experience: With our extensive experience in the healthcare insurance industry, MD Revenue Group excels in delivering results.

Our Credentialing Services


  Initial Credentialing & Enrollments

  Re-Credentialing

  Contracting & Negotiations

  Licensing & Renewals

  Malpractice Insurance Enrollments

  DEA Registrations

  Demographic Updates

  Hospital Privileges

  IPA Enrollments