Medical Credentialing Company in USA
Making Healthcare Credentialing A Breaze
Get credentialed with confidence—States Credentialing helps healthcare providers and facilities navigate insurance enrollment, re-credentialing, and compliance in every U.S. state, ensuring faster approvals and uninterrupted reimbursements.
1
Provider Information Collection
- NPI & DEA numbers
- State medical licenses
- Educational qualifications
- Board certifications
- Work history
- Malpractice insurance
- Hospital privileges
- Disclosure of legal issues
2
Insurance Panel Enrollment
- Payer research & requirements
- Network participation requests
- Network participation requests
- Application form submission
- Follow-up with insurance reps
- Documentation verification
- Reimbursement agreements
- Approval notification tracking
3
Ongoing Credentialing Maintenance
- License renewal tracking
- CAQH re-attestation
- Insurance re-credentialing
- Monitoring expirations
- Compliance with payer rules
- Update demographic info
- Timely document submissions
- Credentialing audits support
Comprehensive RCM Solutions for Specialty Practices
Details RCM offers end-to-end Revenue Cycle Management (RCM) services tailored to the unique needs of various medical specialties. Our expert solutions cover medical billing, coding, insurance credentialing, claims management, and denial resolution, ensuring faster reimbursements, reduced revenue leakage, and improved financial performance for healthcare providers.
Mental Health
Streamlined billing solutions for psychiatrists, therapists, and mental health clinics.
Obstetrics & Gynecology
Hassle-free billing services for OB/GYN physicians and women’s health.
Dermatology
Accurate claim processing and coding solutions for dermatology practices.
Interventional Pain
Optimized reimbursements for pain specialists and pain management clinics.
Orthopedics
Complete RCM for orthopedic surgeons and musculoskeletal providers.
Gastroenterology
Specialized billing solutions for GI specialists and endoscopy centers.
Ophthalmology
Efficient billing services for eye care professionals and vision centers.
Custom Tailored RCM Services to Maximize Your Collection
Details RCM LLC provides specialized Revenue Cycle Management (RCM) services designed to help healthcare providers in Georgia, Florida, Alabama, South Carolina, North Carolina, Tennessee, Mississippi, and Louisiana streamline their billing processes, reduce claim denials, and optimize reimbursements. Our end-to-end solutions, including medical billing, coding, insurance credentialing, claims processing, and AR management, ensure faster payments, improved cash flow, and compliance with payer regulations. Partner with us to enhance your practice’s financial performance and focus on delivering quality patient care.
Complete RCM
From patients registration to payment for services rendered, we manage and support you every step of the way.
Medical Credentialing
We assist providers with getting their credentialing done with every insure so that they don’t have to turn away any patient.
RCM Audit
We help providers conduct thorough RCM audits to identify revenue gaps and compliance issues that leaks collections.
Practice Startup
We assist in practice development workflows, patient retention, and implementing strategies for sustainable growth
Who We Are
Details RCM is a leading healthcare Revenue Cycle Management (RCM) company based in Georgia, dedicated to optimizing medical billing and revenue processes for healthcare providers. With a presence in multiple states, we specialize in end-to-end RCM solutions, ensuring accurate claims processing, improved cash flow, and compliance with industry regulations. Our expertise helps practices maximize reimbursements while reducing administrative burdens.
- Availibility
- Responsiveness
- Reliable
- Support
Seamless Credentialing with Leading Insurance Networks
Details RCM offers comprehensive provider credentialing services, ensuring hassle-free enrollment with major insurance companies. We handle the entire credentialing process, including application submission, primary source verification, CAQH profile management, and contract negotiations, helping healthcare providers gain network participation quickly and efficiently.
Eliminate Revenue Leaks. Keep More of What You Earn
Simplify your billing process and maximize revenue with our expert RCM solutions. From credentialing to claims management, we handle every step to ensure faster reimbursements and fewer denials. Partner with us for a seamless, efficient revenue cycle—so you can focus on patient care.
1
Accurate Coding
Prevent costly errors with precise medical coding that aligns with payer guidelines, reducing claim denials and maximizing reimbursement.
2
Claim Scrubbing
Submit clean claims every time with automated pre-submission checks that identify and fix errors before they reach payers.
3
Denial Management
Recover lost revenue by tracking, analyzing, and aggressively appealing denied claims for faster, fuller payments.
4
Eligibility Checks
Verify upfront to reduce rejections. We confirm insurance coverage before services are rendered to eliminate surprises and delays.
Fusion of Expertise, Innovation & Technology
At Details RCM, we combine industry experience, cutting-edge technology, and innovative strategies to optimize your revenue cycle and enhance financial performance.
Data Integrity & Accuracy
24/7 Support
Experienced RCM Experts
No Obligation Consultation
Don’t Let Revenue Leakage Cost You – Act Now
Stop losing revenue to billing inefficiencies and denied claims. Partner with us for optimized RCM solutions and maximize your reimbursements today!
Software We Use
Our team has expertise of major EHR software used in medical billing industry
We Transform Your Practice into a Success Story
Credentialing was always a headache for our practice until we partnered with Details RCM. Their team handled everything seamlessly, ensuring our providers were enrolled with major insurers without delays. The process was smooth, efficient, and stress-free. Thanks to them, we can focus on patient care instead of paperwork.
Details RCM conducted a thorough audit of our hospital's billing and compliance processes, and the results were eye-opening. Their detailed insights helped us identify revenue leakage, improve coding accuracy, and ensure full compliance with industry standards. Their audit not only protected us from financial risks but also optimized our operations. We are beyond satisfied with their expertise
Partnering with Details RCM was the best decision for our practice. Their team streamlined our revenue cycle, reducing claim denials and accelerating reimbursements. We no longer worry about billing errors or delayed payments—everything runs smoothly. Their expertise has made a significant financial impact on our practice.
