Provider Enrollment & Credentialing — Project. Faster enrollments; revenue cycle start ↓
The Provider Enrollment & Credentialing service by Remote Practice Managers, Inc. streamlines payer enrollment and credentialing workflows—reducing delays, ensuring compliance, and helping providers start billing sooner.
💲 $9,500.00 per month (per practice location)
- Includes full enrollment and credentialing management, payer coordination, compliance alignment, and monthly performance dashboards.
- Optional add‑on: $2,400.00 per month for advanced analytics, payer escalation management, and quarterly compliance workshops.
Provider Enrollment & Credentialing
Engagement: Project | Delivery Time: 1-2 weeks per payer | Tier: Essential
Project Summary: Standardized, tracked credentialing to speed time-to-first-claim.
Deliverables
- CAQH updates
- Applications & revalidations
- Roster management
ROI Impact: Faster enrollments; revenue cycle start ↓
Great For: New providers, expansions
Delays in provider enrollment and credentialing can cost practices months of lost revenue and create compliance risks. The Provider Enrollment & Credentialing service delivers a structured, technology‑enabled framework that accelerates payer approvals, ensures regulatory compliance, and keeps your providers revenue‑ready.
What’s Included:
-
Comprehensive Enrollment Management
- End‑to‑end handling of payer applications, revalidations, and updates.
- Coordination with Medicare, Medicaid, and commercial payers.
-
Credentialing & Compliance
- Primary source verification of licenses, certifications, and malpractice history.
- Alignment with NCQA, CMS, and payer‑specific requirements.
-
Technology‑Driven Tracking
- Centralized dashboards to monitor application status and deadlines.
- Automated alerts for expirations, renewals, and re‑credentialing.
-
Revenue Acceleration
- Faster payer approvals mean providers can begin billing sooner.
- Reduced denials and delays tied to incomplete or outdated credentialing.
-
Staff Training & Support
- Standardized workflows and best practices for credentialing staff.
- Ongoing support for escalations and payer follow‑up.
-
Performance Monitoring
- Monthly executive reports on enrollment timelines, approval rates, and revenue impact.
- Continuous optimization of credentialing workflows.
Why It Matters
Every day a provider waits for enrollment approval is lost revenue and delayed patient access. With Provider Enrollment & Credentialing, your practice gains a scalable, compliant, and efficient system that accelerates approvals, reduces denials, and ensures providers are always revenue‑ready. Instead of credentialing being a bottleneck, it becomes a strategic enabler of growth and compliance.
🩺 Before & After Credentialing Snapshot
| Before (Traditional Credentialing) | After (With Provider Enrollment & Credentialing Service) |
|---|---|
| Providers wait months for payer approvals, delaying revenue | Accelerated enrollment shortens approval timelines and unlocks billing faster |
| Manual, error‑prone applications lead to denials and rework | Standardized, technology‑enabled workflows ensure accuracy and compliance |
| Staff overwhelmed by tracking expirations, renewals, and revalidations | Automated alerts and dashboards keep credentialing current and organized |
| Inconsistent processes across locations create compliance risks | Centralized, NCQA‑ and CMS‑aligned credentialing ensures consistency |
| Lack of visibility into application status frustrates leadership | Real‑time dashboards and monthly reports provide full transparency |
| Revenue leakage from delayed or denied claims | Faster approvals and fewer denials protect and accelerate cash flow |
| Credentialing seen as a bottleneck | Credentialing becomes a strategic enabler of growth and compliance |
🩺 Value Proposition: Provider Enrollment & Credentialing
Why Choose Provider Enrollment & Credentialing? Because every day a provider waits for approval is lost revenue and delayed patient access.
✅ Accelerate Revenue Readiness – Streamlined payer enrollment and credentialing workflows get providers billing faster. ✅ Ensure Compliance – NCQA, CMS, and payer‑aligned credentialing reduces denials and protects against compliance risks. ✅ Gain Full Transparency – Dashboards and monthly reports give leadership real‑time visibility into application status and performance.
Result: A turnkey credentialing solution that transforms enrollment from a bottleneck into a strategic enabler of growth, compliance, and revenue acceleration.