Credentialing and Contracting
Streamline your provider enrollment and stay ahead of credentialing requirements with our specialized services. We ensure your practice remains compliant and well-positioned with payers.
What We Offer
Provider Credentialing: Simplified enrollment with insurance payers, especially for new providers.
Re-Credentialing Management: Stay active with ongoing support to meet re-credentialing deadlines.
Contract Support: Expert assistance with payer contract negotiation and maintenance for optimal terms.
Why Our Clients Choose Optysuite
Expertise and Experience
We have the expertise to navigate the complexities of billing and coding for various specialties, including primary care, cardiology, internal medicine, mental health, and more. We support over 700 providers across multiple states, ranging from physicians, clinics, large groups, nurse-managed clinics, behavioral health, and academic practices.
Deep Industry Knowledge
Our team of nurse practitioners, certified medical billers, billing specialists, practice systems and policy experts possess an in-depth understanding of the healthcare industry - creating a vast foundation of knowledge and experience in an ever-evolving world of healthcare reimbursements.
Revenue Optimization
Our goal is to ensure your practice is not only paid quickly but also paid in full for the services provided. We work tirelessly to reduce claim denials, speed up reimbursements and ensure every service rendered is billed at the highest appropriate rate. We implement comprehensive reviews to minimize errors, maximize reimbursements and reduce claim denials.
Real-Time, Transparent Reporting
We will set up your practice system features to allow you to access real-time data, detailed reports and performance metrics. This allows you to track and monitor the status of claims, review payment trends, track key performance indicators (KPIs) and generate comprehensive financial reports whenever you need them.
Customized Solutions
Our services are scalable, allowing us to grow with your practice and accommodate your evolving needs as your patient base and revenue streams expand. Our tailored solutions range from telemedicine, mobile charge capture and other new programs as they enter the industry.
Compliance and Accuracy
Through accurate coding, precise documentation and detailed audits, we ensure that every claim is meticulously reviewed before submission in order to minimize errors, prevent costly rejections and avoid the risk of audits.
