MD Credentialing & Contracting Group helps providers, clinics, and healthcare organizations streamline credentialing, payer enrollment, and insurance contracting with accuracy, speed, and professionalism.
or call 470-699-6077
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MD Credentialing & Contracting Group specializes in simplifying the complex world of provider enrollment, payer participation, and credentialing operations. We understand that navigating the credentialing landscape can be overwhelming — that's why we're here to handle the paperwork so you can focus on patient care.
Our team brings decades of combined experience in healthcare administration, payer relations, and regulatory compliance. We pride ourselves on accuracy, responsiveness, and deep industry knowledge that helps providers get enrolled faster and stay compliant.
From initial credentialing to ongoing compliance, we handle every aspect of your provider enrollment needs.
Complete initial credentialing and ongoing recredentialing to keep your provider status active with all payers.
Navigate Medicare, Medicaid, and commercial insurance enrollment with expert guidance and systematic follow-up.
Full CAQH ProView setup, attestation management, and ongoing maintenance to keep your provider data current.
Specialized PECOS and state Medicaid enrollment services to get you approved with government payers fast.
Strategic payer contracting and negotiations to expand your network participation and improve reimbursement rates.
Comprehensive roster management and directory maintenance across all your payer contracts and credentialing databases.
NPI enumeration, updates, and maintenance through NPPES to ensure your National Provider Identifier is always current.
State medical license applications, DEA registration, and hospital privileges coordination for seamless practice setup.
Keep your provider panels open and active with timely revalidations, reactivations, and proactive expiration management.
Continuous OIG, SAM, and state exclusion list monitoring to ensure compliance and protect your practice from liability.
Strategic analysis of payer networks and market opportunities to identify the best contracting opportunities for your practice.
We combine industry expertise with dedicated support to deliver results that impact your bottom line.
Our team has decades of combined experience in healthcare credentialing, payer relations, and regulatory compliance across all major insurance networks.
We know that delays cost you money. Our streamlined processes and dedicated follow-up team get your applications approved faster.
Outsource the complex paperwork and endless follow-up calls. We handle the details so your staff can focus on patient care.
Our 99.8% accuracy rate means fewer rejections and denials. We double-check everything before submission.
Expand your network participation with more payers and better contract terms through our expert negotiation services.
Stay informed with proactive status updates. You'll always know where your applications stand.
Whether you're a solo practitioner starting your first practice or a healthcare system managing hundreds of providers, our credentialing expertise scales to meet your needs. We work with all payer types—Medicare, Medicaid, and commercial insurers—so you can focus on patient care while we handle the paperwork.
Whether you're a generalist or a subspecialist, we get you enrolled with insurance panels in weeks—not months—so you can start seeing patients faster.
One provider, ten providers, or a hundred—we handle your entire roster under one roof. No more chasing down credentials or missing deadlines.
Mental health credentialing has its own set of rules. Our experts know them inside and out—from CAQH enrollment to Medicaid behavioral health agreements.
From medical staff privileging to system-wide provider enrollment, we keep your providers credentialed across every facility—without the administrative burden.
Expand your practice and your patient base. We get NPs and PAs enrolled with every major payer so you can see more patients and bill more services.
Ready to go virtual? We handle multi-state telehealth enrollment across all major payers—so your remote practice can start seeing patients coast to coast.
PTs, OTs, SLPs, and more—get enrolled with the insurers your patients rely on. We know the ins and outs of rehab therapy credentialing.
Walk-ins welcome—but not without proper credentials. We get your urgent care team enrolled fast so you never have to turn a patient away.
Medical credentialing is the backbone of your practice's financial health. Without proper credentials, claims are denied, patients can't use their insurance, and revenue streams dry up. Our proven process gets you enrolled, contracted, and generating income faster—without the administrative headache.
Credentialed providers can bill insurance directly, capturing revenue that uncredentialed practices miss out on.
95% of patients have insurance—don't turn them away. Get listed in provider directories nationwide.
Avoid costly penalties and maintain your reputation with proper enrollment and timely recredentialing.
We start by understanding your current credentialing status, goals, and the payers you need to get contracted with. Every day without credentials is lost revenue—studies show practices lose an average of $8,000-$15,000 monthly per uncredentialed provider.
Our team manages all applications, documentation, follow-up, and payer communication on your behalf. Credentialing involves verifying your education, training, licenses, work history, malpractice coverage, and more—with each payer having unique requirements and timelines.
We help you maintain compliance with ongoing recredentialing, updates, and directory maintenance. Benefits include uninterrupted billing, expanded patient access (insurers pay out-of-network rates if you're not enrolled), and protection from costly compliance violations.
Get answers to common questions about our credentialing and contracting services.
Credentialing timelines vary by payer and type of application. Typically, Medicare enrollment takes 30-60 days, Medicaid varies by state (30-90 days), and commercial payers can take 60-120 days. Our team works diligently to ensure your applications are complete and accurate to minimize delays, and we provide regular status updates throughout the process.
Yes, absolutely! We specialize in Medicare (via PECOS) and Medicaid enrollment for all 50 states. Our team handles the entire application process, from documentation gathering to submission and follow-up. We ensure your enrollment is processed as quickly as possible and maintained in good standing.
Yes, we offer comprehensive CAQH management including initial ProView setup, attestation completion, and ongoing maintenance. We also handle recredentialing cycles to ensure your provider status remains active with all payers. Our proactive approach helps you avoid lapses in participation that could impact your revenue.
Yes, we provide commercial insurance contracting services. We can help you negotiate participation agreements, analyze fee schedules, and expand your network participation. Our team has experience working with all major commercial payers and can help you secure competitive contract terms.
Absolutely! We specialize in credentialing issue resolution. Whether your applications have been denied, stuck in pending status for months, or have compliance problems, we can audit your situation, identify the issues, and work to get them resolved. We have a strong track record of successfully resolving even the most complex enrollment problems.
Join hundreds of healthcare providers who trust MD Credentialing & Contracting Group to streamline their credentialing and payer enrollment.
or call 470-699-6077
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