Provider Credentialing Services That Get You In-Network Faster
MeDco RCM manages credentialing and payer enrollment from application to approval, so your providers can start seeing patients and getting paid without months of paperwork and follow-up.
Complete Credentialing & Enrollment Support
From CAQH profiles to re-credentialing reminders, we handle every step and keep your providers active with every payer.
CAQH Profile Management
We create, update and re-attest CAQH profiles so payers always see current, complete information.
Payer Applications
Commercial, Medicare and Medicaid applications are prepared accurately and submitted on time.
Contract Negotiation Support
We help you review payer contracts and fee schedules before you sign.
Application Follow-Up
Our team follows up with payers regularly until every application is approved.
Re-Credentialing Tracking
Expiration dates and re-credentialing cycles are tracked so coverage never lapses.
Hospital Privileges
We assist with hospital and facility privileging paperwork for new and existing providers.
Credentialing Done Right the First Time
Incomplete or inaccurate applications are the biggest cause of credentialing delays. Our specialists verify licenses, certifications and work history up front, so applications move through payer review without avoidable back-and-forth.
Stay Credentialed, Stay Paid
Credentialing is not a one-time task. MeDco RCM monitors expirations, revalidations and payer updates for every provider, protecting your revenue from claims denied for credentialing issues.
Our Medical Billing Process
Patient Registration
We capture complete, accurate patient demographics and insurance details at intake, so every claim starts with clean data.
We confirm coverage, benefits, and eligibility before the visit to prevent avoidable denials and surprise patient balances.
Insurance Verification
Appointment Scheduling
We manage scheduling and secure any required prior authorizations so each service meets payer requirements.
Certified coders assign accurate ICD-10, CPT, and HCPCS codes that keep claims compliant and fully reimbursable.
Medical Coding
Charge Entry
Charges and coded services are entered into your billing system carefully, reducing errors and claim rejections.
Clean claims are scrubbed and submitted electronically to payers for faster processing and payment.
Claim Submission
Claim Adjudication
We track every claim through payer review and act quickly on any request or issue that could delay payment.
Insurance and patient payments are posted and reconciled accurately, giving you a clear, up-to-date financial picture.
Payment Posting
Denial Management
Denied or rejected claims are analyzed, corrected, and resubmitted promptly to recover the revenue you have earned.
We send clear, easy-to-read patient statements that help patients understand their balance and pay on time.
Patient Billing
Financial Reporting
Regular reports show collections, denials, A/R, and other key metrics so you can make confident business decisions.
Specialties We Support
Cardiology
Dental Billing
Gastroenterology
Neurology
Gynecology
Immunology
Internal Medicine
Ophthalmology
Orthopedics
Pain Management
Pathology
Pediatrics
Psychiatry
Podiatry
Urgent Care
Radiology
Boost Your Practice Revenue –
Contact Us Today
Simplify your medical billing and get paid faster with MeDco RCM. Reach out today and let our specialists handle your credentialing and payer enrollment so you can stay focused on patient care.
