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In healthcare, Physician Credentialing is the key process of organizing and verifying a doctor’s professional records. Every physician have to be credentialed with payers to get reimbursement for patients with insurance. We submit credentialing application within 7 days or as soon as we receive CAQH and required documents from physicians.

A well-organized revenue cycle management is critical to upholding good finances. The healthcare revenue cycle is important to healthcare providers’ capability to uphold physician compensation, reduce overhead, and introduce new technologies. When the healthcare revenue cycle is not managed well, collection drops and accounts receivable (AR) days increase.

Providers face skill issues while processing crucial business transactions because they have limited staff and utilize non-integrated IT business applications. That is the reason claim processing charges are never collected, and 20+ percent of all unallocated payments are on the table due to wrong coding or insurance requirements were not met.

Basics of Principal Care Management (PCM) In the Medicare Physician Fee Schedule final rule issued in November 2021, the Centers for Medicare and Medicaid Services (CMS) added four new CPT codes (99424, 99425, 99426, and 99427) in the category of Principal Care Management (PCM) to replace the two previous PCM codes (HCPCS codes G2064 and G2065).