Medicare/Medicaid Credentialing

Before providers can bill for Medicare or Medicaid services, they must become credentialed. The application process includes filling out several forms, which are lengthy and can be confusing especially if applying for group or corporate entities.

PECOS revalidation – One of the recent Medicare requirements is for physicians to be enrolled in PECOS (Provider Enrollment Chain Ownership System). PECOS is an electronic system in which Medicare contractors enter provider Medicare enrollment information. If a physician is enrolled in Medicare or has updated his/her Medicare enrollment information within the past five years, this information may or may not be stored in PECOS. If a physician enrolled more than five years ago and have not submitted any updates to Medicare, he/she will need to update his/her Medicare enrollment information and may actually need to revalidate your provider information.

We can take care of this entire process from beginning to end. Providers simply need to provide us with information regarding their practices (tax id, NPI, License, etc).

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