Provider Enrollment & Credentialing Services

Our Suite of Services
Built for FQHCs

Our suite of services can be tailored to meet the needs of your FQHC. Use the services that you need to help your center succeed.

  • Group practice enrollment involves managing the enrollment needs of multiple healthcare providers and location(s) within a single organization. Our comprehensive services encompass all aspects of the enrollment process, including initial application submission, routine application follow-up, and ongoing maintenance.

  • We understand the complexities and challenges associated with provider enrollment and credentialing, and we provide tailored guidance and support to ensure efficient and compliant operations.

  • Our experienced team works closely with your health center to guide you through the complicated process of maintaining compliance with any and all accrediting bodies, including HRSA (CHCs).

  • Provider privileging is a critical component of the credentialing process, ensuring that patients receive safe and appropriate care from qualified providers. Learn more.

  • The enrollment process relies heavily on accurate demographic information, up-to-date rosters, and comprehensive directories. These updates ensure that the appropriate providers are enrolled, facilitate effective communication, and help maintain the overall integrity of the system.

No More…

  • Delayed payments due to enrollment issues

    Using PMG Credentialing’s FQHC provider enrollment services can help you eliminate claim rejections and denials caused by inaccurate or incomplete provider enrollment.

  • Overwhelming paperwork or frustrated staff

    The time spent collecting information, completing applications, and navigating the complicated payer process could be better spent on patient care and other important work.

  • Endless follow-up calls and annual maintenance

    PMG Credentialing’s team understands the complexities of the FQHC credentialing process. This is how we are able to make the often daunting process simple and hassle-free for you.

PMG Credentialing’s Full-Service FQHC Provider Enrollment & Credentialing Service Includes:

  • Medicare and Medicaid enrollment, as well as group linkage

  • Commercial insurance enrollment

  • Create and manage CAQH for new and established providers

  • Type 1 and 2 NPI applications

  • Primary Source Verification. NCQA Accreditation pending.

  • Ongoing CAQH maintenance, including re-attestations, tracking, and updating expiring credentials

  • Medicare and Medicaid re-validations and commercial re-credentialing

  • Tracking of applications from submission date to provider enrollment

  • Customized reports showing provider par status and application progress

  • Resolution of credentialing-related billing issues

  • Apply to NPI for newly licensed providers and newly opened sites

  • Manage demographic changes for organization and providers with all payers; public and private

  • Enroll providers to all payers provided by our partners

  • Re-credentialing and re-validation for Medicare, Medicaid, MCOs and commercial payers

  • Terminate provider participation upon departure from clinic

  • Provide regular reporting to show participating status of each provider

  • Provide regular reporting to alert partner of licenses, DEA certificates, etc. coming up for renewal

  • Update Medicare records for changes in Board Of Directors

  • Facilitate contracts on clinics behalf

  • Experience working directly with Primary Care Providers, Dental Health Professionals and Specialists ensuring they are properly credentialed.