Credentialing and Re-Credentialing

• Medicare and Medicaid provider enrollments: Our team navigates the complexities of Medicare and Medicaid provider enrollments, ensuring that providers meet all federal and state requirements for participation and reimbursement in these critical programs.
• Commercial insurance Credentialing: MZ Medical Billing manages the credentialing process with commercial insurance carriers, ensuring that healthcare providers are accurately represented and approved to receive reimbursements from a variety of payers.
• Revalidation and Re-Credentialing: We handle the revalidation and re-credentialing processes, ensuring that healthcare providers maintain their credentialed status and comply with ongoing requirements from Medicare, Medicaid, and commercial insurance carriers.
• EFT enrollment: MZ Medical Billing facilitates Electronic Funds Transfer (EFT) enrollment, allowing healthcare providers to receive payments electronically, reducing administrative burdens and expediting reimbursements.
• CAQH Registration and Maintenance: Our team assists clients in completing and maintaining their Council for Affordable Quality Healthcare (CAQH) profiles, ensuring accurate and up-to-date credentialing information for insurance panels and payer networks, and handling the ongoing maintenance required to keep profiles current.
• Pecos enrollment: MZ Medical Billing guides healthcare providers through the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) enrollment process, ensuring compliance with Medicare regulations and eligibility for reimbursement.
• PPES Registration We assist clients in registering and updating their National Plan and Provider Enumeration System (NPPES) profiles, ensuring accurate identification and enrollment in federal healthcare programs. This includes both Type I (individual) and Type II (organizational) NPI registrations.

By partnering with MZ Medical Billing for provider credentialing, healthcare providers can navigate the complex credentialing process with ease and confidence. Our expert team handles all aspects of credentialing, from initial enrollment to ongoing maintenance, allowing clients to focus on delivering high-quality patient care without the administrative burden.