I Would Like To Obtain

Credentialing Services.

01.

New Practice Start-up

WHAT TO EXPECT

We will walk alongside you from the moment you receive a tax ID through receiving your first insurance payment. Payors are currently processing individual enrollment and contracting in 90 days.

02.

Adding a Provider

WHAT TO KNOW

Adding a provider to an active contract or roster is a simple process. Complete information, good planning, and ensuring you understand their licensure scope will deliver a shorter time to reimbursement.

03.

Expanding Payor Network

ADDING CONTRACTS

You are able to apply for a contract with an insurance company at any time. You should anticipate the processing time for any new contract relationship will take at least 90 days.

04.

Provider Maintenance and Compliance

DETAILS THAT MATTER

Trust us to know the details. We assist with revalidations, hospital (re)appointments, license registration and expirations, DEA, BNDD, CAQH, ADA, NPPES/I&A, portal registrations, roster updates, CLIA, and a long list of others.

05.

Hospitals to Private Practices

SERVICE FOR ANY ENTITY TYPE

Different entity types demand different enrollment, contract management, compliance, negotiation, and processes. No matter the size, we know the details to ensure your process amplifies your cash flow.

06.

New State Expansion

EXECUTING MARKET ENTRY

We have on the ground experience in all 50 states. When you are ready to move your business to a new market, let us help you vet the payor network, fee schedules, and start your expansion.

07.

Managing Payor Relationships

MAINTENANCE MODEL

When you are ready to use a third party to manage all aspects of your growing business, talk to us about how our managed service can take over everything from CAQH to roster management.

Entity and License Types.

Red House manages credentialing work for some of the countries largest systems and pays the same attention to our solo doctor practices. Our credentialing department handles single and multi-specialty practices, behavioral/mental health clinics, rural health clinics, IPA backend support, DME, labs, skilled nursing facilities, single hospitals and systems, rehab, surgical facilities, and other specialty entities.

  • ABA and Autism
  • Anesthesiology
  • Audiology
  • Cardiology
  • Dermatology
  • ENT
  • Emergency Medicine
  • Endocrinology
  • Endovasular
  • Family Practice
  • Gastroenterology
  • General Surgery
  • HCFA & UB04 (Facility)
  • Hematology
  • Hepatology
  • Internal Medicine
  • Mental and Behavioral Therapies
  • Neurology
  • OB GYN
  • Ophthalmology
  • Optometry
  • Orthopedics
  • Pathology
  • Pediatrics
  • Plastic Surgery Cosmetic
  • Plastic Surgery Reconstructive
  • Podiatry
  • Psychiatry
  • Psychology
  • Radiology
  • Rheumatology
  • Social Work
  • Urgent Care
  • Urology

Our Solutions

Medical Billing and Coding

Our billers and coders are the mainstay of our revenue cycle management. They manage all processes involved in submitting a claim to payors, following up on denials, reconciling payments, and working with patient's payments. These successful processes are backed by Artificial Intelligence to increase speed of payment by decreasing human error, increasing response rate with payors, following algorithm-based workflows, and making sure we keep a human touch.

Credentialing

Whether you are just starting up or hiring new practitioners, the speed with which you can credential them determines your ability to seek reimbursement, expand your practice, and accept new patients. Even with adept credentialing processes, insurers say it can take up to 90 days to credential a new hire. Our experienced credentialing team speeds that process by rigorous follow up, detail oriented submissions, and payor connections.

Bookkeeping

Our bookkeeping model is built for healthcare and integrates with your revenue cycle strategy execution. We will connect you with one of our expert bookkeepers. They'll get to know your practice and deliver perfect monthly books, and year end financials. As you have questions about your financials, your bookkeeper is always a quick message or phone call away.

Payroll

We utilize a payroll platform which forms a comprehensive resource center for Employers and Employees wanting to improve their administrative operations. From payroll to HR and time tracking, our services are delivered faster, accurately, confidentially—and most important, personally. These enterprise solutions deliver sustainable benefits by connecting your people, your work practices and the latest technology to your business. Our system is totally cloud based and updates are across all parts of our system and are instantaneous.

EMR Partners

The backbone of our artificial intelligence powered medical billing service is our partner EMR. Seamless integration of our digital workforce makes the synergies possible. We receive deep discounts which we pass to you. If you choose to use a different EMR system, we are work on it. We have worked on dozens of EMRs. If you are ion the decision making process, let us consult with you on the pros and cons of your specialty and the softwares in your decision tree.

Telehealth Platform

Telehealth has never been more important and will only become a more integrated element of a healthcare practice. Our backend software has an easy-to-use telehealth tool which we offer for free for those who use our preferred EMR. Integrating telehealth at your practice will help you keep up with a fast pace and changing patient landscape. We will assist in the setup, provide use training, and ensure your coding and billing is maximized so you are reimbursed as you incorporate telehealth into your practice.

Practice Analytics

If you’re a numbers person, our EMR software automates a series of deep diving analytics. During monthly report runs, we can provide dozens of preset and custom reports to help your practice make decisions to become more profitable, improve patient outcomes, streamline your operations, and grow your financial base. Each specialty is different. And those differences mean unique performance indicators will help one and not the other. A range of reports will help you see detailed and graphically inclusive insights into your specialty. We also help compare you to industry standards.

Records Custodianship

We don't want you to worry about your medical files after closing your practice. This is where we step in and take over your files in a safe secure manner. We will also take care all incoming medical requests from patients, insurance companies and all other companies. Whether you are retiring from your practice or starting a different venture, we offer custodian of medical records, document scanning, migration of EMR files, letter service and medical requests. We will tailor our services to help make closing your practice a smooth transition. Our complete solution is designed to give you peace of mind knowing that your patient base will still be supported as needed, allowing you to enjoy your next venture.

National Coverage.

We have offices around the United States.

Office

Phoenix, AZ

Office

Denver, CO

Office

St. Louis, MO

Office

Boston, MA

Office

Detroit, MI

Office

Atlanta, GA

Office

Tampa, FL

Office

Los Angeles, CA

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