PHM Network | Credentialing

Physician Credentialing Services Overview

Amazingly enough, when working with many practices we discovered that most medical offices were utilizing their top staff to file credentialing and recredentialing forms. Even some of the most successful practices were using their best personnel to deal with this mundane tedious time consuming task.

In fact, these offices were using their best staff not to deal with the actual insurance carrier; they were dealing with a company to which the carrier has outsourced their credentialing process. Companies like Aperture have been servicing the Insurance carriers for many years and at the same time wasting the valuable time of some of your best staff members.

Professional Healthcare Management can handle all of your credentialing and recredentialing needs. We deal with all credentialing needs, insurance carriers and hospitals. By outsourcing your credentialing process you will free up your staff to focus on holding those same insurance companies to the contracts they have signed. We offer tracking to ensure that your credentialing application is getting the attention it deserves.

In addition, we provide all of your plan preview needs. Don’t get stuck in another bad insurance contract. Professional Healthcare Management will work with regarding for fee schedules and advise when necessary of changes you need to make to optimize your reimbursement potential. We have many years of experience in knowing what information is essential for you to know about reimbursement. There is more to insurance contracts than fee schedules. We will get the answers that you need to make an informed business decision before signing an insurance contract.

See our assorted membership levels here.