Starting a Medical Billing Business > Starting Your Own Medical Billing Business

Collections and Credentialing

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PMRNC:

--- Quote ---If I may ask, how does one learn to do credentialing?  I tried to do this with a part time client once, and the result was many hours spent on the phone, with Noridian (Medicare) and little to show for my efforts.

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I've always found Medicare to be the easiest. The other carriers were the headaches. Did you run into a specific problem with Medicare?

I know some billing companies will do basic credentialing but I have found that the way to capture a more diverse market is by offering more advanced credentialing services such as fee schedule and contract negotiations, re-credentialing, analysis, etc.  Of course Medicare is straight-forward but I'm talking all other carriers.

williamportor:
Well, it seems that learning to do credentialing is a matter of simply diving in and learning by doing. If that's the case, it opens up some very interesting possibilities for growth! I wonder...does this apply both basic and advanced credentialing? 

Cpatel:
Credentialing is very helpful tool to grow business as well as to maintain existing clients. I offer Credentialing/Revalidation for all my clients and is priced per payer.  I work with Medicare of multiple regions and Noridian is the most easiest one. Their staff is very helpful. BTW, you can get your own PECOS login. Medicare Credentialing and Revalidation is very simple and fastest way through PECOS. Like, Michelle I do basic Credentialing but not contract negotiation.

Michele:
Cpatel,  how did you get your PECOS login?  I was told you had to get permission for each provider in order to use PECOS which seemed like a pain.  I still do paper apps!

PMRNC:
You can get your own login: https://pecos.cms.hhs.gov/pecos/login.do#headingLv1


--- Quote ---You may register for a user account if you are: an Individual Practitioner, Authorized or Delegated Official for a Provider or Supplier Organization, or an individual who works on behalf of Providers or Suppliers.
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