Complete Credentialing Package
Steps for the Practice Consultation
Free consultation to discuss needs (30m)
During your Statement Of Work meeting, you'll collaborate with our credentialing experts to optimize your payor mix and align it with your practice's growth objectives. We will help you set priorities for the credentialing process and offer insights on various contracting strategies to maximize your revenue potential. (120m)
We have grouped everything a new provider or group needs to get started getting paid. This includes everything from obtaining an NPI to contracting with CMS and up to 5 private payers like BCBS, Cigna, Humana, UBH, and/or Aetna. The paneling process can take 3-4 months, depending on how quickly I receive your documents. The initial credentialing process can take several weeks, again, depending on how quickly verifications, etc. come back.
Esteem Consulting Pricing Packages
1. Credentialing Services
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Initial Credentialing (per provider per payer)
○ Includes verification of education, training, and work history
○ Primary source verification of license and certifications
○ Completion and submission of credentialing applications to insurance companies
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Re-Credentialing (per provider)
○ Annual review and submission of re-credentialing applications
○ Monitoring and reporting changes in provider status
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Expedited Credentialing (per provider per payer)
○ Fast-track processing of credentialing applications
○ Includes priority handling and follow-ups
2. Provider Enrollment Services
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Insurance Enrollment (per insurance plan)
○ Completion of enrollment applications for commercial insurance networks (e.g., Blue Cross, Aetna)
○ Follow-up with insurance companies for status updates
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Medicare Enrollment
○ Enrollment in Medicare Part B and Part D
○ Includes obtaining NPI and completing CMS 855I application
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Medicaid Enrollment
○ Enrollment in state-specific Medicaid programs
○ Complete necessary paperwork and follow-up processes
3. Practice Setup Services
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Full Practice Setup Package (no credentialing or enrollments)
○ Comprehensive setup of a new medical practice
○ Includes assistance with business formation, tax ID acquisition, NPI application, and regulatory compliance
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Business Plan Development
○ Customized business plan tailored to your practice needs
○ Market analysis, financial projections, and growth strategies
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Technology Setup
○ Implementation of Electronic Health Records (EHR) systems
○ Practice management software setup
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Office Setup Consultation (Hourly Rate)
○ Consultations for layout, equipment purchasing, and staffing advice
4. Bundle Packages
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Full Credentialing & Enrollment Package
○ Includes initial credentialing and enrollment for three commercial insurance plans
○ Good for new providers entering the market
○ Add Ons are additional
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Complete Startup Package
○ All-inclusive services for establishing a practice
○ Includes practice setup, credentialing for two providers, and enrollment with up to five commercial insurance plans
○ Add Ons are additional
Other Individual Services and Fee Schedule
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Varies per state
Price
Starting at $200
(Mid-Levels $150)
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Price
$100
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Ongoing maintenance of provider credentialing file
Expirables Management
Stay ahead of critical deadlines by automatically tracking expiration and revalidation dates.
Price
Starting at $100 per provider/month
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Get early assistance for seamless business setup, including NPI setup, growth orientation, or sole proprietor stability
Price
$400 per hour
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Claims Management
Claim submission, correction, and resubmission services get you paid accurately and on-time.
Continuous Monitoring
We protect your practice’s healthy cash flow with ongoing monitoring of claims and appeals.
Accounts Receiveable
We identify and track overdue or denied payments and resolve issues preventing payment.
Modernized Revenue
Streamlined revenue cycle with integrated ERA/EDI, EFT and EMR/EHR solutions for financial success.
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Price
$200 per payer
Add-On Services
One-on-One Coaching: $150/hour
Follow-up consultation (after package completion): $200/hour
Discounts
Early payment discount: 10% off for payments made upfront.
Referral program: 15% off your next package for referring a new client.
Terms and Conditions
Payment Terms: 50% upfront and 50% due 15 days from invoice and agreeance.
Cancellation Policy: 48-hour notice is required for cancellations.
Package Discounts
10% discount for upfront annual payment for any ongoing services.
15% discount for bundled services (e.g. Credentialing + Enrollment).
Notes:
● All prices are estimates and can be adjusted according to the target market.
With years of experience in Inpatient hospital, Outpatient, Telehealth with multiple specialties and licensures. I'm excited to introduce our Credentialing/Contracting Services. Enroll seamlessly with Medicare, Medicaid, and commercial insurances for affordable prices per insurance per provider. Avail our Medical billing services at only 3% of the collected amount. Also introducing Regulatory Compliance and policy writing. Interested? Drop me a line!