You will get Provider Enrollment & Credentialing Status Audit.
Project details
Millions of dollars in medical claims are denied every year simply because a provider was not properly enrolled or their credentialing expired. If you are seeing "Provider out of network" or "Not enrolled" denials, you need a credentialing audit immediately.
With over 7 years of RCM experience, I know exactly how credentialing gaps cause revenue leakage. I will act as your dedicated auditor, meticulously checking your footprint across CAQH, PECOS, and commercial payer portals. I don't just tell you what's broken; I provide a clear, actionable map of your current enrollment status. Protect your cash flow by ensuring your providers are fully credentialed and active before you send the bill.
With over 7 years of RCM experience, I know exactly how credentialing gaps cause revenue leakage. I will act as your dedicated auditor, meticulously checking your footprint across CAQH, PECOS, and commercial payer portals. I don't just tell you what's broken; I provide a clear, actionable map of your current enrollment status. Protect your cash flow by ensuring your providers are fully credentialed and active before you send the bill.
Project Type
Data Entry, Project Management, OtherWhat's included
| Service Tiers |
Starter
$150
|
Standard
$400
|
Advanced
$700
|
|---|---|---|---|
| Delivery Time | 5 days | 10 days | 14 days |
Number of Revisions | 1 | 2 | 3 |
Optional add-ons
You can add these on the next page.
CAQH Profile Update
(+ 2 Days)
+$100
Medicare/PECOS Status Check
(+ 3 Days)
+$150Frequently asked questions
About Pranita
End-to-End RCM Expert | Medical Billing & Coding | Claim Automation
Pune, India - 9:54 pm local time
Are you losing revenue due to coding errors, slow payment posting, or complex medical necessity denials? I am not just a standard medical biller; I am a Clinical Pharmacist (B.Pharm) and a Lead RCM Specialist with over 7 years of hands-on experience in Charge Entry and Coding.
I review denials through a clinical lens (Medical Necessity, drug interactions), not just a coding lens. This drastically increases appeal success rates.
To provide maximum value and speed to my clients, I operate on a Tech-Enabled Hybrid Model:
1. Expert Manual Precision: I personally handle complex Charge Entry, Patient Demographics, and Coding to ensure 100% accuracy and compliance.
2. HIPAA-Compliant Automation: I utilize proprietary, secure automation scripts for high-volume, repetitive tasks like Payment Posting and standard Denial captures. This clears your pipeline in hours, not days, saving you money on hourly manual labor.
My Core Competencies:
1. End-to-End Revenue Cycle Management (RCM)
2. Expert Charge Entry & Clinical Coding (7+ Years Exp.)
3. Automated Payment Posting (Fast & Error-Free)
4. Deep Denial Management & Clinical Appeals
5. A/R Follow-ups & Old Backlog Cleanup
6. EMR/PMS Adaptability (Athena, eCW, Kareo, Jane, Practice Suite, etc.)
Why Partner With Me?
Unlike traditional agencies where you are handed off to junior staff, I maintain a "Direct Oversight" approach. You get a single point of contact (SPOC). I lead the operations; you manage your practice.
Let’s connect to discuss how my clinical expertise and tech-enabled workflows can accelerate your cash flow and reduce your AR days.
Steps for completing your project
After purchasing the project, send requirements so Pranita can start the project.
Delivery time starts when Pranita receives requirements from you.
Pranita works on your project following the steps below.
Revisions may occur after the delivery date.
Data Collection & Review
I securely gather your NPI, state licenses, and tax IDs to ensure all basic credentialing prerequisites are accurate.
Payer Portal & CAQH Verification
I cross-reference your details across CAQH and individual payer portals (e.g., BCBS, Medicare, UHC) to check your exact status.