Credentialing Services
Integrated physician billing,practice management, and electronic health record service.

Physician Credentialing Services that Eliminates Stress and Reduces Costs

The physician credentialing and re-credentialing process is complicated, time-consuming and costly. And that’s when it goes smoothly. When you factor in complications such as delays and frequent changing requirements, varying from state to state, this already lengthy, burdensome process takes significant time away from patient care.

At PGM, we understand that practices are faced with a number of significant challenges including continuing downward pressure on revenues and increasing expenses. Our physician credentialing services are designed to remove credentialing from this list of challenges while reducing costs and freeing up valuable administrative time. PGM’s approach to credentialing and enrollment streamlines the process, eliminates redundancy and delivers timely results, and our expertise ensures that important details are not overlooked.

PGM provides physician credentialing services to organizations large and small. We give providers the flexibility to choose the credentialing and enrollment package that fits their individual needs. Our customized services include:

  • New practice setup
  • Adding provider to a practice
  • Preparation and reattestation of CAQH
  • Medicare enrollment and revalidation
  • ERA (Electronic Remittance Advice) enrollment
  • EFT (Electronic Funds transfer) enrollment
  • Address changes/updates

PGM handles all aspects of credentialing and re-credentialing including:

  • Credentialing covering all 50 states and insurance companies
  • Completion of enrollment applications
  • Submission and tracking of enrollment applications
  • Preparation and continuous follow up for CAQH
  • Confirming if insurance networks are open for provider’s specialty
  • Requesting fee schedules from payer for provider’s review and approval prior to contracting
  • Archiving of documentations for future reference

Practices that partner with PGM for their physician credentialing receive:

  • Personalized tracking system
  • Regular status reports
  • Frequent communication with PGM account representatives
  • Consistent follow up with insurance companies
  • Education
  • Superior customer service
  • Outstanding quality standards