Best Credentialing Companies for Neurology 

A provider needs to be aware of numerous things before selecting the appropriate credentialing company for a neurology practice. The neurologists have special difficulties enrolling with insurers and hospitals. Credentialing for neurology is complex due to complications with documentation. A wrong decision while choosing a credentialing partner can make your practice suffer revenue loss for months.  Read about the best neurology credentialing companies that focus on quickly enrolling neurologists with Medicare, Medicaid, and private insurance companies such as Aetna, Cigna, UHC, and BCBS. 

Why Neurology Credentialing Matters 

Neurology is one of the most difficult areas in medicine. The process includes a thorough and rigorous check of subspecialty training, board certifications, and clinical privileges to ensure they have the right training, board certifications, and clinical privileges. Neurodiagnostic practices may face denials and revenue loss because of inadequate or delayed credentialing. 

Compliance Requirements 

In the United States, the need for neurologists keeps growing. More people with stroke, epilepsy, Alzheimer’s, and other neurological conditions need care because the population is getting older. It’s important for practices to get their providers added to insurance networks as soon as possible. These rules for following have become tighter over the last few years. 

The American Medical Association (AMA) and state medical boards require neurologists to keep a lot of records. Enrolling in PECOS with Medicare requires careful attention to every detail. A single mistake or improper detail can cause neuro-clinic credentialing delays for weeks or months. 

Fast Credentialing Requirements Due to Growing Neuro Demand 

Due to high patient demands, a quick credentialing process is important. Neuroscience centers that speed up the credentialing process can serve more patients and generate revenue sooner. The right credentialing experts know about these pressures and work quickly to meet schedules. 

Key Services Needed for Neurologists’ Credentialing 

For an effective and efficient neurologist credentialing process, there are many important steps and services that make it successful. Medical specialty credentialing goes beyond filling out basic forms. Here are the essential services every neurologist needs. 

Payer Enrollment 

Signing up with big insurance companies is the key to making money in your practice. Neurologists need contracts with private insurers like Blue Cross Blue Shield, Aetna, Cigna, and United Healthcare. Different payers have different rules and ways to apply. The best neurology credentialing companies have the expertise to deal with the unique challenges and ensure an error-free application. 

PECOS/Medicare Sign-Up 

Neurologists who treat Medicare patients must sign up for Medicare through the Provider Enrollment, Chain, and Ownership System (PECOS). The system needs detailed information about the practice’s location, ownership structures, and billing arrangements. Errors in PECOS applications can cause delays or denials in the process for weeks. Experienced credentialing specialists ensure accuracy from the start. 

CAQH Management 

A central database run by the Council for Affordable Quality Healthcare (CAQH) is a platform that insurance companies use to check details about providers. CAQH requires creating a profile with the details of the neurologist’s schooling, training, history of malpractice, and work experience, and maintaining it by updating all changes as soon as they happen. CAQH handling is a part of the process that credentialing companies do as part of their main service. 

Credentialing for Hospital Privileges 

Neurologists who work in hospitals need exclusive rights to take in and treat patients. These services include checking the medical staff office at each location. Peer recommendations, case reviews, and approvals from the committee are all parts of the process. Leading companies provide these services as part of the process. 

Recredentialing & Contract Renegotiation 

It’s not a one-time thing to get credentials. Every two to three years, insurance companies need to see your credentials again. Staying current with all enrollments is a must for private practice neurology bills to work. Additionally, renegotiating contracts ensures that neurologists get paid fairly. Neuro practice management services should cover these ongoing needs with ongoing assistance. 

Best Credentialing Companies for Neurology 

To pick the right certification partner, you need to know the background of the neurology companies. There are many companies that offer neurologist credentialing services; however, some focus on basic care, while others are experts in more complicated specialties like neurology. 

The following companies have proven track records in neurologist credentialing services; however, each brings different strengths. Your choice depends on practice size, budget, and specific needs. 

Credex HealthCare 

When it comes to neurology insurance credentialing, Credex Healthcare is the best choice. The company focuses on complicated medical fields and knows what neurologists need in particular. They have credentialing experts who have extensive experience with neuroscience centers and neurodiagnostic practices. 

Why Choose Credex Healthcare? 

Credex Healthcare offers comprehensive neurology insurance credentialing, from creating an initial CAQH setup through ongoing payer enrollment assistance. They work with all of the big insurance companies and know exactly what each one needs. Their process includes carefully reviewing all documents before sending them in, which greatly lowers the number of rejections. 

Credex Healthcare ensures 

1. Quick Turnaround Times: Mostly, main enrollments take 90 to 120 days. 

2. Complete Support: For enrolling in PECOS and getting Medicare credentials. 

3. Transparent Pricing: Clear prices with no hidden costs. 

4. Perfect For All sizes of Practices: Ideal for solo neurologists, group practices, and neurology departments adding new providers. 

Credex Healthcare excels in providing credentialing for neurologists who need admitting privileges. 

Transcure 

Transcure offers full medical billing and credentialing services for a wide range of fields. They offer credentialing services with the help of an expert team, along with revenue cycle management. Transcure blends credentialing and billing services, which makes both easier for practices to expand their services. They understand the process of credentialing and billing correctly. 

They offer their services across 40 specialties and a robust billing dashboard for real-time revenue tracking and performance analytics. Also, they have trained professionals in your EHR to make your practices well-organized. 

CureMD 

CureMD is a full-service source of healthcare IT and credentials. Along with credentialing services, they manage the whole practice through advanced technology. Due to its online platform for keeping track of credentialing status, it is good for neurology practices. 

Integration with their practice management system makes it easier to maintain and update the changes. It is best for groups that are tech-savvy and want digital tools. Integrating will be easy for neurologists who already use CureMD for EHR. 

MaxRemind 

MaxRemind specializes in credentialing and revenue cycle management. They work with many types of medical specialties, including neurology. They handle both the original neurology provider enrollment and the recredentialing. It is beneficial for practices that want one company to handle both payments and credentialing. It is effective for both new neurologists and those who are already established when they add new insurance contracts. Good choice for practices that are facing denials and delays due to credentialing issues. 

MedBillMD 

With a team of specialists and experts, MedBillMD offers medical billing and credentialing services for many specialties. They emphasize quick turnaround times and have cooperative customer service. It makes the whole payer enrollment process easy and simple, and has expertise in working with both commercial insurance and government programs. 

Good for neurologist practices that are starting new locations and need to quickly sign up new patients. It is useful for both individuals and small groups. 

MedbillRCM 

MedbillRCM is an expert in managing the whole credentialing process along with billing services. They make the whole documentation process easier and the credentialing process seamless for medical neurology medical practices. 

It provides complete services for provider enrollment and billing, and is able to handle specialist, complicated needs. Perfect for neurologists who want to outsource the whole process. Good for practices that face trouble in getting claims approval because of problems with credentials. 

DoctorMGT 

Doctor MGT helps with credentialing and other aspects of managing a business. They work with both private companies and doctors who work for hospitals. DoctorMGT’s neurology billing services can handle these kinds of problems by ensuring that the right documentation and paperwork are in place and that the right billing services are provided with error-free applications. They have more than ten years of experience dealing with providers’ credentialing. 

MedCare MSO 

MedCareMSO provides management services organizations (MSOs) support, including credentialing services across multiple specialties, by focusing on making operations run smoothly. It is perfect for neurologists who need full help with managing their practices, and is good for private practice neurology billing combined with credentialing. It works well for growing practices. 

Practolytics 

With more than 2 decades of experience, the company specializes in 28 different healthcare specialties while providing transformational solutions for its clients. You can get their services for full credentialing or for any partial help. They can completely handle the process by initiating your credentialing process, CAQH verifications, and re-credentialing with insurance programs. Practolytics can also help you add or remove a partner, revalidate Medicare and Medicaid, re-enroll in a hospital, and more. 

Verisys 

Verisys is one of the best medical certification companies in the US. They have been providing credentialing services in the healthcare business for more than 30 years. These services include verification of certificates, such as professional licenses and other data sets from the primary certifying bodies. To save time and ensure accuracy, they offer a completely automated and robotic credentialing process. Verisys works with medical boards in all 50 states, ensuring fast credentialing and enrollment. 

Conclusion: Choose the Right Credentialing Company for Neurology 

To find the best neurology credentialing companies, you need to look at a number of important factors. The speed with which you can begin seeing patients and earning revenue is dependent on your decision. Companies that work with neurologists on a daily basis know exactly the required documents. They are aware of the subspecialty licenses that various insurance companies need. They know how important it is to have certified neurodiagnostic tools. Generic credentialing services often miss these details. 

Turnaround time is crucial for practice revenues, as delays in credentialing and enrollment can hinder income. When selecting a credentialing partner, assess their typical completion times for tasks like PECOS enrollment and CAQH setup. It’s essential to evaluate their contracts and relationships with relevant insurance companies, focusing on success rates. Additionally, ensure cost transparency by obtaining clear pricing and understanding what is included in the fees to avoid unexpected charges related to recredentialing or applications. 

Credex Healthcare offers a comprehensive credentialing solution for neurology practices all around the 50 states. Our specialty-focused approach helps us understand neurologists’ unique needs. We complete most primary enrollments within 90 to 120 days. Our team maintains strong relationships with every major insurance payer, and we offer transparent, competitive pricing with no hidden charges. 

Are you ready to speed up the process of getting credentials? For a free evaluation, call Credex Healthcare right now. Let us take care of the paperwork while you care for the patients. 

FAQs 

How much does neurology credentialing cost? 

Getting credentialed as a neurology provider can cost anywhere from $500 to $2,000, based on how many payers are involved and how hard the application is. The price of a package usually includes setting up CAQH, enrolling in Medicare, and working with more than one commercial payer. 

How long does neurologist payer enrollment take? 

From application to approval, standard payer enrollment takes between 90 and 120 days. Signing up for Medicare PECOS usually takes between 60 and 90 days, but it depends on the insurance company. Getting into a hospital may take 120 to 180 days. 

Can credentialing companies manage CAQH? 

Yes, most credentialing companies take care of CAQH accounts, which include setting them up the first time, uploading documents, and making regular changes. They ensure that all of your insurance companies have up-to-date information and keep track of due dates. 

What documents do neurologists need? 

Neurologists need to have a medical degree and transcripts, board certifications, state licenses, a DEA certificate, malpractice insurance, a work background, peer references, and subspecialty certifications. Getting these in order speeds up the process.