PRACTICE SOLUTION CONSULTANT Medical billing, credentialing, Accreditation
WBENC Certification and more...
THRIVE PROVIEW
At Thrive Proview, we strive to provide exceptional professional services that empower our clients to achieve their business objectives. Our focus is on delivering customized solutions that address the unique needs of each client. With a team of experienced consultants from diverse backgrounds and industries, we cater to a wide range of industry and specialty practice providers across the USA.
One of our key strengths lies in our consistent core management team, which has remained unchanged for the past two decades. This stability allows us to adapt to any Practice Management System and tailor our services to align with your preferences. Our clientele includes individuals, small businesses, and large-scale industries.
We are proud to announce that Thrive Proview is certified as a Women's Business Enterprise (WBE) by the Women's Business Enterprise National Council (WBENC), the leading third-party certifier of women-owned and operated businesses. This certification reflects our strong organizational structure, strategic business planning, and implementation capabilities. Our commitment to promoting diversity and fostering inclusive programs empowers women as leaders, contributing to a more diverse, equitable, and sustainable economy.
Based in Atlanta, Georgia, USA, we take pride in being recognized as one of the top consultancy firms in the area.
CREDENTIALING SERVICE
Credentialing and Re-Credentialing
Credentialing and Re-Credentialing
Credentialing and Re-Credentialing
Completion of all enrollment forms (including EFT and contract paperwork) Facilitation of entire process from start to finish.
- New practice setup in all 50 states.
- Credentialing Services for both Private and Govt. Payer - Medicare & Medicaid CMS and PECOS Enrollment /
- Reassignment, New Enrollment of all specialty healthcare provider with all insurances.
- NPI, PECOS set up. EDI, ERA, EFT and Clearing House Setup.
- CAQH maintenance, Availity, Pay-Span, Insurance provider portals registration.
- Medicare, Medicaid and all Commercial payers Credentialing and re-validation
- Credentialing of all types of specialty physicians and NP, PA
- Demographic Updates include: Updating information from address, phone number, fax number, etc. Tax ID and NPI updates Facilitation of entire process
Credentialing Services Requirements
Credentialing and Re-Credentialing
Credentialing and Re-Credentialing
The credentialing process ensures that the provider meets the standards of the organization and the organization’s payers, identifying risk factors early and reducing the risk of adverse outcomes.
The requirements depends on payers but mostly consistent across the board and these are:
- Malpractice claims history (suspensions, revocations)
- License to practice and primary source verification
- NPI number & DEA license •
- Medical school name and year of completion
- The state license to practice, etc..
Benefits of out-sousing your credentialing
Updates on credentialing status within 24 hours
On-time payments from third-party payers
Dedicated team to navigate the paperwork in a timely manner
We help you safe cost and stay up-to-date on new compliance
MEDICAL BILLING SERVICE
- Medical Coding: We provide detailed error-free charge entry to ensure first-time approved claim submission. We take the demographics and charge info for each patient from you. Our billers enter the charges daily for the claim processing.
- Charge Entry: We confirm every patients’ insurance eligibility to streamline your process, shorten account receivable days, and avoid denials.
- Charge Entry Checking: Our billing experts and scrubbing process make sure clean claims are submitted. If there are any rejections, after corrections, re-submission is done the same day.
- Claim Submission: ERAs and EOBs are verified and posted on time. The remaining balances are posted to the patient’s account. We verify to make sure appropriate payment is made on each claim.
- Customized Report: Custom reporting presents a single source of data and metrics, that allows you to assess and compare billing and collection performance trends in a more effective way. healthcare consultancy
- Payment Posting: After confirmed appropriate payment from all payers, if the remaining balance is owed by a patient, a detailed statement is generated to send to the patient showing the due balance.
- Denial Management: In case of a denial, our A/R specialists work on the cause of denial to resolve the problem and process the due payment.
- Account Receivable: ERAs and EOBs are verified and posted on time. The remaining balances are posted to the patient’s account. We verify to make sure appropriate payment is made on each claim.
- Patient Statement: After confirmed appropriate payment from all payers, if the remaining balance is owed by a patient, a detailed statement is generated to send to the patient showing the due balance.
CMS ACCREDITATION SERVICE
Accreditation Service
CMS requirements for accreditation:
CMS requirements for accreditation:
Health care organizations that want to participate in and receive payment from the Medicare or Medicaid programs must be certified as complying with the Conditions of Participation (CoPs).
If you're in need of a customized accreditation solution, our goal is to assist you in selecting a combination of services and distinctions that are specifically tailored to meet your requirements. Additionally, we provide transparent information and offering up-front, flat-fee pricing for your convenience.
WHY CHOOSE US
- Organization Customized, compliance-centered accreditation process.
- Dedicated Account Advisors
- Achieve operational efficiencies and productivity.
CMS requirements for accreditation:
CMS requirements for accreditation:
CMS requirements for accreditation:
CMS certification is achieved through a survey conducted by a state agency on behalf of the Centers for Medicare & Medicaid Services (CMS).
survey procedures and processes;
ability to provide adequate resources for conducting required surveys;
ability to supply information for use in enforcement activities;
monitoring procedures for provider/supplier entities found out of compliance with the conditions or requirements; and
ability to provide CMS with the necessary data for validation and verification of survey and oversight activities.
We are dedicated to provide all the tools you need to be accredited with any payers; including Medicare and Medicaid.
STAFFING SERVICE
Temporary-to-Hire / Direct Hire
Temporary-to-Hire / Direct Hire
Temporary-to-Hire / Direct Hire
We specialize in creating lasting partnerships that involve every sector of your business from short term to direct hire. We help hiring managers and government workers with qualified candidates in all types of positions
Our Candidates
Temporary-to-Hire / Direct Hire
Temporary-to-Hire / Direct Hire
- Clinical & Non-Clinical
- Certified Medical Staff (Nurses, Physicians, Social Worker, CNA etc)
- Executive Management
- Sales and Marketing
- Technology and Engineering
- Warehouse workers
- etc
OTHER SERVICES
OTHER SERVICES
SELF PAY & COLLECTION
SELF PAY & COLLECTION
- Project Management
- Account Receivable Audit & Follow-up
- Website design and Management
- General office support and maintenance
- Logistics
- Funding services
- etc
SELF PAY & COLLECTION
SELF PAY & COLLECTION
SELF PAY & COLLECTION
Accelerate your reimbursement and increase payment cash flow.
Engage early in the revenue cycle and Educate your customers about their responsibility
Make your billing effortless and Provide easy access to payment processing by Mail, Online and through our dedicated team
Provide efficient process with follow-up phone calls and managing patient questions and complaints.
Reduce your overhead cost with our dedicated team. healthcare consultancy
CUSTOMER SERVICE / VIRTUAL ASSISTANT
CUSTOMER SERVICE / VIRTUAL ASSISTANT
CUSTOMER SERVICE / VIRTUAL ASSISTANT
Live Answering services with fastest pickups:
Appointment scheduling
After hours calls, Break-time roll out etc.
Fully HIPAA compliant for healthcare professionals
Reliable, professional and courteous
Customizable programs that fit your business needs
Small - Medium – Big Business – High call volume
PHYSICIAN STATE LICENSING
CUSTOMER SERVICE / VIRTUAL ASSISTANT
CUSTOMER SERVICE / VIRTUAL ASSISTANT
Our specialist handles all the administrative work and the licensure application process that takes between 2 mons – 3 mons. Our process are quick and seamless and we will stay in constant communication with you throughout the process to keep you informed of the application status.
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