CONTRACTING, CREDENTIALING AND CONSULTING

Thank you for visiting our website! MDCredentialing® offers a variety of services including practice management, credentialing, contracting and consulting. Let us analyze your specific needs and develop a customized plan for you. 

OUR SERVICES

Credentialing and Contracting Package

INCLUDED SERVICES:

  • Credentialing or Recredentialing with commercial insurance, networks, workers comp and government plans
  • Contracting for commercial insurance, networks, workers' comp and government plans
  • Fee Negotiation for commercial insurance, networks and workers' comp
  • CAQH Application (new or update)
  • Individual NPI Application (new or update)
  • Group NPI Application (new or update)

Annual Maintenance Plan

INCLUDED SERVICES:

  • CAQH maintenance and reattestation
  • Individual NPI updates and maintenance
  • Group NPI updates and maintenance
  • Renewals of License, DEA, CDS, etc. (Fees required in the application process, not payable to MDCredentialing, are the responsibility of the provider.)
  • Recredentialing of Current Insurance Plans
  • Recredentialing of Current Hospitals
  • Demographic Maintenance
  • Consulting
  • Additional plans (up to 5) for existing providers

Renegotiation of Current Contracts

INCLUDED SERVICES:

  • Fee Schedule Analysis 
  • Contract Renegotiation

Individual Services Offered

  • CAQH New Application 
  • CAQH Update 
  • NPI New Application 
  • NPI Update 
  • Recredentialing
  • Contract Renegotiation 
  • Consulting 
  • Fee Schedule Analysis 
  • Hospital Privileges 
  • State License, DEA, CDS, etc.

Credentialing and Contracting

Allow MDCredentialing® to efficiently manage your credentialing and contracting needs.

CREDENTIALING

We offer full management of both facility and health plan credentialing. We complete all applications and perform the necessary follow-up needed to achieve successful credentialing.


Progress reports are provided electronically on a weekly basis, with phone conferences scheduled at your convenience. 

CONTRACT NEGOTIATION

MDCredentialing® will review your contracts to ensure they are appropriate for your practice. 

We will work with your practice to understand your specific needs and make recommendations on additional insurance plans that may benefit you. We will negotiate your contracts to include the best reimbursement rates available. 

CONTRACT RENEGOTIATION

Are you sure you are getting the best rate available for your services? Let us renegotiate your current contracts to include the best reimbursement rate for your practice. 

ABOUT US

MDCredentialing® is a company dedicated to medical practice management, specifically contracting and credentialing. We understand the challenges many practices have in training experts in all of the administrative areas of a medical practice. Our administrators have experience working in both private practice and academic medicine.

SABRINA STEPHENS

Owner

Ms. Stephens has over 15 years of experience in Provider Enrollment, Contracting, Credentialing, Consulting and Practice Management. 


Ms. Stephens was previously an Administrator for the Kentucky Children’s Hospital. Provider Enrollment and Credentialing were essential responsibilities in this position as well as managing five divisions of a large academic practice. Later, she accepted a position as Vice President of Client Affairs and the Director of Operations for a credentialing service. 


Ms. Stephens had a vision to provide credentialing to providers in a new and innovative way and MDCredentialing was launched.

SABRINA STEPHENS

Owner

Ms. Stephens has over 15 years of experience in Provider Enrollment, Contracting, Credentialing, Consulting and Practice Management. 


Ms. Stephens was previously an Administrator for the Kentucky Children’s Hospital. Provider Enrollment and Credentialing were essential responsibilities in this position as well as managing five divisions of a large academic practice. Later, she accepted a position as Vice President of Client Affairs and the Director of Operations for a credentialing service. 


Ms. Stephens had a vision to provide credentialing to providers in a new and innovative way and MDCredentialing® was launched.

CLIENT TESTIMONIALS

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CONTACT US

For all inquiries, including a quote request, please fill out the form below. Once your response has been recorded, a member of our team will be in touch. For more immediate assistance,  please call us at (888) 219-4522.

Main Contact Form