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Physical Medicine & Therapy Credentialing
Credex Healthcare fills in the gap that a physiatrist or physical therapist faces every month because they aren’t certified with a carrier. That’s real money that’s going out the door. For physical therapy clinics, rehab centers, and sports medicine centers, we handle the paperwork, follow up with payers, and compliance checks. This way, hospitals, health systems, and private offices can keep paying without stopping.
Our licensing team knows the difference between a physiatrist’s board file and a DPT’s license file, and that difference is what we use to build each application. We handle the whole process, from CAQH certification to enrolment forms special to each payer, so your doctors can focus on their patients instead of checking their emails for confirmation.
Features
What Defines Us
12+
Years Spent Credentialing Physical Medicine Providers
50
States Where We Track Licensure and Payer Rules
7000+
Physiatrist and PT Credentials Filed to Date
98%
Applications Approved on the First Submission
Our Story
Who We Are
Credex Healthcare started in Jacksonville, Florida, twelve years ago and began the process of granting credentials to a few physical therapy offices in the area. We have assisted thousands of therapists around the nation and would welcome the opportunity to serve you too. We provide the expertise, resources and network to help you grow your business.
We provide individualized support from start to finish of the accreditation process, and have a dedicated staff that follows up to ensure that all applications remain on track. Submissions are fast-tracked for speedier approval. Assistance for new practice owners seeking to simplify the credentialing processes.
Here’s where our team focuses day to day:
Credentialing Lifecycle
From the first application to continued recredentialing, this guide covers every step of the physical medicine credentialing process.
Primary-Source Verification
Getting directly in touch with issuing boards and institutions to confirm education, residency, licenses, and work history.
Contract Negotiations
We are looking over payer contracts and turning on networks so that physical medicine providers can start billing right away.
Claims Management
We handle submitting claims, following up on denials, and making unique pricing records for all types of practices we work with.
Credentialing Services
Our Physical Therapy Credentialing Services
Physical medicine credentialing involves board files, state PT licenses, hospital privileging, and payer-specific paperwork that rarely lines up the same way twice. Our team take special care of this; we file and keep track of all the credentials your practice needs, so your doctors can focus on helping patients instead of looking for proof letters.
Provider Onboarding
New hires need board certifications, transcripts, malpractice history, and CAQH profile together. Only then can they send out their single payer application. We gather and arrange all of it for the physiatrists, DPTs, and PTAs who are joining your practice. We find any paperwork gaps early on so they don't cause delays later on.
Verification of Primary Documents
We contact the schools, residency program, licensing board, and previous employer listed. It's not a form letter. We check each certificate at the source and then run background and penalty checks to make sure nothing catches the receiver in the middle of the review process and slows down clearance.
Maintenance & Recredentialing
Approval isn't the end of credentialing. Licenses run out. DEA registrations expire. The windows for CAQH re-attestation close quietly in the background. We keep track of all three and let you know early on when you miss a date. That way, a missed date doesn't lead to a malpractice claim or a payer dropping you from the network.
Insurance Enrollment
We connect your practice with the insurance plans and payer networks that your credentials actually let you join. Then we negotiate the terms of the contract. More networks mean that more patients can walk in and use their existing coverage. Stable in-network billing is what makes sure that income stays steady instead of going up and down.
Stats
Our Achievements
Compliance Maintained Across Every Physical Medicine Filing
Physical Medicine Providers Credentialed to Date
Average Cut in Administrative Workload for Our Clients
Average Lift in Patient Revenue After Credentialing
Benefits
Benefits of Credentialing for Physical Medicine Providers
Reduced Delays
Payers can look over your paperwork faster if it is clean. You won't have to wait in queue because someone didn't sign or because their license number ended last spring.
Individualized Support
Every credentialing plan is built around your practice's specialty mix and provider count rather than a one-size-fits-all checklist.
Cost Transparency
You'll know the full cost of your credentialing project before we start filing, with no surprise fees added partway through.
Credentialing Expertise
Our team tracks state-by-state licensing rules for physical medicine providers as they change, not just at renewal time.
Real-Time Maintenance
You get live status updates on every application and a running log of upcoming renewal dates, so nothing catches you off guard.
Strategic Insight
Why Credex Healthcare
When it comes to insurance enrolment, an outpatient center with one provider and a rehab group with multiple locations need very different things. We take care of both ends of that range in all 50 states, adapting our process to meet the needs of each state’s physical medicine licensing rules.
Track Record
Five-star reviews from physical therapists who have been through our whole process of getting credentialed, from applying to getting their first payer contract.
Customized
Built around the mix of providers you actually have, such as physiatrists, DPTs, PTAs, or a mix of these types of professionals in different places.
Tracking
A live dashboard that shows exactly where each application sits in the payer review process, updated in real time.
Prices
Pricing that is clear from the start and based on the number of providers you have, rather than adding extras that you don't know about.
Expertise
A group that only keeps up with changes to physical medicine licensing boards and payer policies and not with changes to healthcare credentials in general.
Maintenance
After approval, ongoing monitoring makes sure that deadlines for recredentialing and license renewals are met before they become compliance risks.
12+
Years of Radiology Credentialing
100% Success
Radiologist Credentialing Applications
97.5%
Insurance Enrollment Success Rate
Credex Healthcare, Radiology Credentialing Services
24/7 Support
Available for All Your Needs
100%
Customized Radiology Solutions
Specialties We are Offering
Success Stories
What our Clients Say
Physical Therapist
Elina
I had been putting off recredentialing for months because I didn’t have time to look for my own board files. Credex worked hard to get my application re-filed within a week. They found two documents that had expired that I didn’t know about.”
Orthopedic Therapist
Emily
“What stood out was how they handled verification. They called my old training program directly instead of just emailing a form, and that’s probably why my approval came back faster than the last time I went through this on my own.”
Physical Therapist
Tom Sanders
“Contract negotiation was the part I dreaded most. Credex reviewed the payer terms line by line and got me into two networks I’d been rejected from before, which made a real difference in the referrals I started seeing.”
Physical Therapist
Adam Moore
“Recredentialing used to sneak up on me every renewal cycle. Now I get a heads-up week ahead of any deadline, and I haven’t had a lapse since I started working with their team.”
Physical Therapist
Allen Taylor
“I stayed focused on patients while Credex handled the back-and-forth with insurance carriers. They kept me updated at each stage instead of leaving me to guess where my application stood.”
Process
How It Works
Step 1
Application Filing
We gather all the necessary information, such as board qualifications, licenses, malpractice background, and CAQH data, and then send it to the insurance companies and networks that your business needs.
Step 2
Source Verification
Every credential is checked directly with the school, board, or employer that issued it, so nothing gets held up during payer review.
Ste 3
Contract Negotiation
We work out the terms of your reimbursement and make sure your provider is in-network, so billing can begin as soon as approval comes through.
Features
Why Defines Our Presence
We’ve filed credentialing applications for physical medicine providers in every state, which means we’ve already seen the specific rejection reasons and payer quirks that slow other clinics down. That track record is what lets us cut turnaround time without cutting corners on documentation.
U.S.-wide Operations
We file physical medicine and therapy credentialing applications in all 50 states, adjusting for each state's licensing board requirements.
Industry Recognition
Hospitals and health systems across the country have referred physical medicine practices to us based on past credentialing work.
Expert Guidance
Our team tracks state licensing board updates as they're published, not just when a client's renewal comes due.
Reduced Timelines
We build each application to clear payer review on the first pass, which is where most delays actually happen.
GEt Started
Begin Working with Credex Healthcare
If your physical therapy clinic, rehab facility, or sports medicine center is ready to stop losing time to paperwork, Credex Healthcare can handle the whole licensing process for you, from applying to getting approval from payers. This is customized to your practice’s providers and how it works.
For physical medicine practices, we also handle licensing and billing. This way, one team handles all of your clinic’s administrative tasks instead of three vendors passing the ball back and forth. Let’s talk about where your business is now and how much any gaps in your credentials may be costing you. Get in touch with us.
FAQS
Frequently Asked Questions
What is Physical Medicine & Therapy Credentialing?
That’s the process of making sure a physiatrist or physical therapist has the right education, license, work history, and board certification to treat patients and bill insurance companies. To be a DPT, that means checking the CAQH records and state licenses. You should add the records of residency and board certification for a physiatrist to the list.
Why Do Therapy Clinics Need Credentialing Services?
Credentialing mistakes are one of the main reasons a payer application is held up or turned down completely. When you outsource the process, you usually get fewer rejections, and once the providers start seeing patients, they get paid faster because the paperwork is taken care of by people who know exactly what each payer wants.
How Long Does the Credentialing Process Take?
Most forms are approved between 60 and 180 days after they are sent in. Where you fall in that range depends on the buyer, how quickly the state licensing board acts, and how complete the provider’s paperwork is at the beginning. Most of the time, this takes longer than it should because records are missing or out of date.
Do You Handle CAQH and Payer Enrollment for Therapists?
Yes, we make and keep up-to-date your CAQH record during every re-attestation time. We also take care of getting your practice signed up with the right payers and networks so that you can send bills.
Can You Manage Recredentialing for Rehabilitation Providers?
Yes. We keep track of every provider’s license renewal and recredentialing due dates and start the paperwork early enough to make sure there are never any gaps in their current position with any customer network.
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