Frequently Asked Questions.

At PMG Credentialing, we know that navigating the world of provider credentialing, enrollment, and privileging can raise a lot of questions. Whether you're a solo practitioner, a growing group practice, or a large healthcare organization, our goal is to make the process as smooth and transparent as possible.

If you don’t see your question listed here, feel free to contact us — our team is always happy to help.

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General Services FAQs

This FAQ section is designed to answer the most common questions we receive about our services, timelines, processes, and what you can expect when working with us. From credentialing basics to consulting support and payer enrollment, we’re here to provide clarity and confidence every step of the way.

Why should we choose PMG Credentialing over handling credentialing in-house?

PMG Credentialing offers specialized expertise, dedicated support, and proven systems that reduce administrative burden, minimize delays, and ensure compliance. By outsourcing to us, your team can focus on patient care and operations while we manage the complexities of credentialing, enrollment, and privileging with precision and efficiency.

How much time will our internal team need to commit?

We recommend designating a point person for implementation. After the initial setup, your team’s involvement is minimal—mainly limited to notifying us of new or departing providers.

Do you offer services for group practices and large organizations?

Absolutely. We tailor our services to meet the needs of solo practitioners, group practices, and large healthcare organizations. Our scalable solutions ensure efficient credentialing and enrollment regardless of your size.

What types of healthcare providers do you work with?

We work with a wide range of healthcare professionals, including physicians, nurse practitioners, physician assistants, behavioral health providers, and allied health professionals across various specialties.

Credentialing Services FAQs

Get quick answers to common questions about our credentialing services—timelines, requirements, recredentialing, and more. We make the process simple and stress-free.

Is there a way to track the status of our credentialing applications?

Yes, we provide regular updates and status reports. You’ll always know where your applications stand and what actions, if any, are needed from your team.

Do you offer one-time credentialing services or only ongoing support?

We offer both. Whether you need help with a one-time file or prefer ongoing credentialing management, we have flexible service options to meet your needs.

Can PMG Credentialing help with recredentialing?

Yes. We manage both initial credentialing and recredentialing (typically required every 2–3 years), ensuring all deadlines are met and documentation is kept up to date.

How do you keep our credentialing data secure?

We use secure, HIPAA-compliant systems to store and manage credentialing data. Access is restricted to authorized personnel, and we follow strict protocols to protect your information.

Enrollment Services FAQs

Find answers to your top questions about provider enrollment—timelines, payer requirements, and how we streamline the process from start to finish.

How long does it take to get a provider enrolled with payers?

Enrollment timelines vary depending on the health plan. While Medicare and most state Medicaid plans typically approve within 90 days, some states may process faster. We work diligently to expedite the process wherever possible.

What does PMG Credentialing handle in terms of CAQH and payer portals?

When you partner with us for payer enrollment services, we manage all CAQH maintenance and payer portal attestations. These services are included in your ongoing provider or organization maintenance package.

What happens if a provider leaves our organization?

We handle the termination process with payers and update rosters accordingly. This helps prevent billing issues and ensures your records remain accurate.

How do you ensure compliance with payer and regulatory requirements?

Our team stays up to date with payer policies and industry regulations. We use a robust tracking system to ensure timely renewals, revalidations, and compliance with all credentialing standards.

Privileging Services FAQs

Explore answers to common questions about privileging requirements, timelines, renewals, and how we help ensure your providers are ready to practice.

What is the difference between credentialing and privileging?

Credentialing verifies a provider’s qualifications, such as education, licensure, and certifications. Privileging, on the other hand, grants a provider the authority to perform specific procedures or services at a healthcare facility based on their verified qualifications.

How often do privileging applications need to be renewed?

Most hospitals and healthcare facilities require reappointment or re-privileging every two years, though this can vary. PMG tracks these deadlines to ensure timely renewals and prevent lapses in privileges.

How does PMG track privileging deadlines and expirations?

We use a secure credentialing management system to monitor all privileging timelines and send proactive reminders to ensure reappointments are completed well before deadlines.

Does PMG Credentialing assist with initial privileging applications?

Yes, we support providers and organizations through the entire privileging process, including gathering required documentation, completing applications, and submitting them to the appropriate facilities.

Consulting Services FAQs

Get insights into our consulting services, process audits, compliance support, and credentialing strategy tailored to help your organization grow and stay efficient.

What types of consulting services does PMG Credentialing offer?

We offer consulting in areas such as credentialing process optimization, compliance audits, payer contract strategy, provider onboarding workflows, and organizational credentialing readiness.

Who can benefit from your consulting services?

Our consulting services are ideal for healthcare organizations of all sizes, including private practices, hospitals, behavioral health centers, and multi-specialty groups looking to streamline operations or prepare for growth.

How does a consulting engagement with PMG typically begin?

We start with a discovery call to understand your current processes, challenges, and goals. From there, we tailor a consulting plan that aligns with your organization’s needs and timeline.

Do you offer audits of our current credentialing processes?

Absolutely. We conduct comprehensive audits to identify inefficiencies, compliance risks, and opportunities for improvement. You’ll receive a detailed report with actionable recommendations.