credentialing services

Credentialing is a vital process for all medical practices and offices. Without completing the process, you cannot accept (and bill for service) specific insurers, including CMS (Medicare and Medicaid). Unfortunately for many offices, the credentialing process can be incredibly lengthy, difficult, and challenging. Virtuesis can take that burden off your shoulders.

Our credentialing services include essential components designed to help you run a profitable practice, serve your patients as well as possible, and ensure that you are able to bill for your time and expertise. We offer credentialing with all commercial and government payers – no matter how niche an insurer might be, we help you through the primary source verification process and insurance contracting.

We can offer solutions tailored for solo practices and group practices, including adding and removing physicians when necessary, setting up group contracts, adding new locations for expanding healthcare providers, and more. Our team can create, track, and update CAQH profiles and even deliver insurance payer website analysis to ensure locations are added in a timely manner. We help negotiate rates with payers to ensure fair compensation for services rendered, as well.

Finally, we can also assist with DBA names if your practice changes names to reflect a shift in physicians, focus of care, growth to a new location, or any number of other requirements.