Quality Credentialing Services to Keep Your Revenue Cycle in Gear

Health Partners Management Group (HPMG) is passionate about improving the health of our clients business. So much so, that we have dedicated ourselves to delivering exceptional credentialing services to healthcare organizations, like yours, desiring to take your revenue cycle’s performance to the next level. We assist health plans, hospitals, medical groups and insurance companies nationwide with their medical credentialing.

HPMG provides credentialing services that include provider enrollment and primary source verification. We work with most medical specialties and assist with enrollment in all insurance networks such as, Medicare, Medicaid, and Commercial Insurance.

Let us customize a credentialing solution to fit your organization.

Initial Credentialing Services

  • Completion of Government Plans applications
  • Completion of third-party payers/managed care plans credentialing applications
  • Completion of on-going data currently requested/backlog

Ongoing Credentialing Services

  • Managing and monitoring the data accuracy of Personal Information, Schooling, Licensures, Office information, Hospital Privileges, References, and Provider Numbers
  • Maintaining your Council for Affordable Quality Health (CAQH) information quarterly
  • Maintaining physician & group’s provider enrollment information is current and accurate
  • Notify CMS (PECOS) of any changes such as – address, remittance, correspondence and ownership changes