Credentialing & Provider Enrollment

We strive to empower healthcare providers by simplifying the medical credentialing and enrollment services, enabling themto focus on their core mission of saving lives.

SA Care Consultancy comprehensive medical credentialing services enable healthcare providers to simplify the provider enrollment and credentialing process, avoid claim delays, and save time and resources. With our centralized process and knowledgeable experts, providers canrecognize revenue sooner and free themselves from the hassle of handlingpiles of printed documents and tiring follow-ups.

Services We Provide

Provider Credentialing Services

Benefits of Our Physician Credentialing Services

Streamline Your Workflow: Say goodbye to time-consuming manual tasks. Our physician credentialing services save you weeks of repetitive work, allowing your team to focus on more impactful activities.
Empower Your Staff: Free your staff from tedious paperwork and endless applications. Our services give them the freedom to engage in valuable tasks that drive your practice forward.
Minimize Risk, Maximize Revenue: Eliminate the headache of insurance follow-ups and reduce the risk of lost revenue. Our expert credentialing ensures that you’re always on top of your game.

Unlock Patient Growth: Increase patient referrals and expand your patient volume with our efficient credentialing process. Let your practice thrive and attract more patients.

Accelerate Payments: Get paid faster and improve your cash flow. Our streamlined provider credentialing services means you can start receiving payments sooner.
Comprehensive Support: Enjoy an end-to-end service that covers everything, from gathering information to submission, follow-ups, and communication via emails and faxes.
24/7 Access: Stay informed anytime, anywhere. Our online platform provides 24/7 access to your documents and real-time application updates.
Personalized Attention: Experience the advantage of a dedicated project manager who guides you through the process. Our award-winning customer service ensures you’re in good hands.

Specialties

Physicians

PAs/ NPs

Physicians

Podiatrists (DPM)

Chiropractors (DC)

Sleep Labs

Ambulatory Surgery Centers (ASC)

Urgent Care Facilities

Clinical Laboratories

Diagnostic Testing Facilities (IDTF)

Optometrists

Audiologists

Behavioral Health Providers

Why Choose us

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Year Of Experience

Medical Specialties

Happy Clients

OUR CUSTOMERS THOUGHTS

Deanna Windham

Medical Practice Owner

"SA Care Consultancy has been a lifesaver! They took over all our time-consuming administrative tasks, freeing us up to focus on growing our business, Their services are efficient and accurate, allowing us to trust that our daily operations are in good hands, Since partnering with SA Care Consultancy, we've seen a significant improvement in our team's productivity."

Sarah Jackson

Medical Practice Owner

"SA Care Consultancy is a reliable and trustworthy partner. They truly understand our business needs and deliver exceptional results

Their commitment to customer satisfaction is unmatched. They go above and beyond to ensure we're happy with their services. I highly recommended them"

Adam Smith

Medical Practice Owner

"SA Care Consultancy's team of medical billing experts has been a game-changer for our practice. They take care of all the complexities, ensuring accurate VOBs and timely claim submissions. It's a huge relief knowing our billing is in their capable hands, and it's allowed us to significantly reduce the stress associated with medical billing. they can be your best billing partner"

Deanna Windham

Medical Practice Owner

"The entire team at SA Care Consultancy are really awesome!" They are highly trained, very effective, patient with lots of questions and have helped me to improve my reimbursements significantly. I highly recommend SA Care Consultancy to any business looking to streamline operations, achieve growth, or improve their medical billing process."

Sarah Jackson

Medical Practice Owner

"I was initially hesitant to trust a new company, but SA Care Consultancy quickly put my worries to rest. Their team is incredibly knowledgeable and always explain everything clearly. Since partnering with them, we've seen a noticeable improvement in our revenue. Being a new company, SA Care Consultancy has provided a level of invaluable trust and reliability. I wouldn't hesitate to recommend them to anyone looking for a trustworthy and efficient medical billing solution."

Adam Smith

Medical Practice Owner

" They're more than just medical billing wizards they handle everything from website, marketing to customer support and even those pesky admin tasks. It's like having a whole extra dedicated team. thanks to their efforts our front desk staff can now focus on patients instead of paperwork. If you're looking to streamline operations, free up your team to focus on what matters most, SA Care Consultancy is the answer"

Reliable Convenience for all

your medical billing and RCM hassles

With SA Care Consultancy, you can conveniently stay connected from anywhere in the world and get access to all your medical related information including patient appointment scheduling, patient treatment plans and reports, scheduling updates etc. SA Care Consultancy allows you to establish a profound relationship with your patient, which is trustworthy and reliable, just as SA Care Consultancy is committed for your medical billing solutions.

Strategy and Planning

We bring the right people together to challenge established thinking and drive transform. Don't just manage billing, chart your practice's success with SA Care Consultancy. Our planning tools help you analyze data, optimize workflows, and set achievable goals.

Better Interoperability

All your medical billing workflows will synchronize easily to give you extensive information and data analytics on all your medical revenues, patient information and billing processes.

Real-time Intelligence

All your medical billing processes and workflows are automated to provide real-time information that is accurate and 100% error-free.

Frequently Asked Questions About

Credentials & Provider Enrollment

What documents are required for insurance credentialing?

Necessary documents vary for different insurance plans and types of physicians/practitioners. Here is a list of some basic documentation that is usually required:

Documents for individuals:

Practitioner License(s)
Malpractice Insurance (Certificate of Insurance)
DEA (federal) and state CDS certificates
Board Certification(s)
Diploma – copy of highest level of education (required for non-MD’s, DO’s)
Current CV (showing current employer, and all entries have mm/yy format)
Current driver’s license

How long does the credentialing process take?

Turnaround time varies between insurance carriers, so there is no one answer to this question. Major carriers generally take between 90-120 days to complete the process. Smaller carriers and insurance plans may take longer.

Upon submitting a participation request to a commercial carrier, providers will need to undergo two processes. The first of these is credentialing, where the carrier verifies all provided credentials and presents them to their committee for approval. Once providers are approved by the credentialing committee, they are then directed towards the contracting process wherein their participation is approved, and they are provided their effective date.

Commercial carriers do not allow for retroactive billing, meaning providers will only be compensated for claims submitted after they are listed as an “In-Network” provider in the carrier claims system. Out of network billing will result in much larger bills for patients and patients may be responsible for the entire bill on their own.

How long does it take to enroll with Medicare?

Applications of enrollment in Medicare typically take between 60-90 days to complete, though this does vary wildly between states. The effective date for Medicare is set as the date the application was received, allowing for providers to retroactively bill for any encounters that occurred between application and approval. There is also a 30-day grace period, enabling providers to bill for service provided up to 30 days prior to their effective date.

Turnaround time is longer for DMEPOS suppliers. In addition to the close scrutiny that every application is subjected, suppliers will also be required to participate in a site visit as part of the application process. The site inspector will be responsible for ensuring the office is located at the address included on the application, as well as hours of operation, where inventory is stored, and other important elements of being a DME supplier.

Can Sa Care Consultancy make the credentialing process quicker?

Sadly, Sa Care Consultancy cannot make the process any quicker. Our contribution is efficiently and effectively managing the entire application process, beginning with initial credentialing applications and carrying through to follow-ups with carriers. Our experts are well versed in the entire process, saving time that might otherwise have been wasted by providers attempting to perform the process themselves and making mistakes along the way.

Do I need a service location to begin credentialing?

Yes, it is necessary for providers to have a place of service before they begin the medical credentialing and contracting process. A home address cannot be used as a clinic address, wither permanently or temporarily. A home address can, however, be used as an address for billing or correspondence, but only if a physical address for the practice is also provided. In the event that the office space is still under construction, the address can still be used. The application can be sent up to 30 days prior to the location actually opening up to patients, and most commercial carriers also offer the same guideline.

How do I complete Medicare Revalidation?

Revalidation of Medicare enrollment is required every 5 years but DMEPOS suppliers revalidate every 3 years. Individual providers can either complete the CMS855I paper application or use PECOS to complete the revalidation online. For groups or suppliers, the CMS855B application must be completed. If an Electronic Funds Transfer was not previously set up for the group record, one will need to be created for the revalidation process.

Providers mus

Which Medicare application is used for provider enrollment?

What is a CP575?

The CP575 is the confirmation letter sent to providers by the IRS when they receive an Employer Identification Number, or Tax ID number, for a business. This letter must also be included in the application for Medicare enrollment as proof of the legal name of the business. In case the original is unavailable, a replacement letter 147C can be requested as verification of the EIN. These two documents are the only proof of EIN accepted by Medicare.