Credentialing &
Re-Credentialing Services

Credentialing & re-credentialing services are integral components of practice management. They review programs that verify and assure the current competence of the practitioner. This verification and validation of the skills as well as the license of the provider requires a lot of paperwork and can be quite confusing.
Having dedicated in-house staff for this can be quite expensive and may hamper your productivity in the process.
Spectrum Healthcare Inc. provides trustworthy, timely, and precise credentialing and re-credentialing services for providers.

    HIPPA Compliant

    Spectrum Healthcare Inc. provides all billing services under the compliance of HIPPA.

    Quick Turnaround

    Visible Turnaround of your practice within 24 Hours

    Expert Certified Staff

    Each and every team member of Spectrum Healthcare Inc. is certified and well versed with all Dental Billing Practices.

    Lowest Denials

    Spectrum Healthcare Inc.’s Denial Rate has been Consistently less than 2% in the last 5 years for all clients across the United States.

    Advantages

    Advantages of our Credentialing & Re-Credentialing services From Spectrum Healthcare Inc.

    1. We complete all the paperwork and applications and keep you updated on the status of the process.
    2. We handle all the follow-ups, phone calls, emails, and faxes. You can leave the entire hassle to us.
    3. It saves you from the expense and time of staff hiring or managing them for the tasks.
    4. Prevents delays and denials from insurance companies for your claims.

    Our Services

    Services we offer in complete Dental RCM

    Do you want to outsource your Dental RCM Services? Collaborate with Spectrum Healthcare Inc., a leading provider of Dental RCM Services in the United States.

    Accounts Receivable and Accounts Payable (AR/AP) Process
    Dental Accounts Receivables Services

    Being a dental practice, you need a positive ledger to take a long leap. Spectrum Healthcare Inc. helps you in meeting cash flow goals by effectively taking care of Account Receivables when it comes to insurance claims. Our Account Receivables services assure you of the payments from the patient’s insurance in a shorter time.

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    Leading Dental Coding and Billing Services in US -Astron EHS
    Dental Coding Services

    Enhance the percentage of clean claims, as well as reimbursement and data reporting. Speak with One of Our Professionals Now! Coding services that guarantee precision and the desired results. Join our community and you may start making savings right away!

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    Benefits of hiring accurate document indexing services for your business
    Document Indexing Services

    Outsourcing document indexing services to Spectrum Healthcare Inc. gives you the advantage of a fully HIPAA-compliant and professional workforce who handles document indexing services for your practice. By digitization, scanning, and document indexing the health records using the latest software, any damage by natural causes is also prevented. We streamline the process and organize and store the data efficiently in such a way that your staff can access those easily as per their requirement.

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    Customer Eligibility and Benefit Verification Discussion
    Eligibility & Benefit Verification Services

    Our end-to-end medical eligibility verification services help get more money from patients and keep accounts from getting old and being impossible to get money from. We have also worked with general dentists, orthodontists, endodontists, oral surgeons, and paediatric dentists to check their patients’ eligibility for dental care.

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    Dental Fee Schedule Maintenance Services -Astronehs
    Fee Schedule Maintenance Service

    A Fee Schedule Maintenance service is the list of negotiated amounts that the payor will pay to the providers for the rendered service. There are many types of fee schedules such as; Medicare, Medicaid, Commercial PPO, HMO, Employer Fee, Specialty Fee, etc. The structure and codes differ for each type. It is also no surprise that payers keep changing their allowable amounts many times during the year. It is tiresome to stay on top of these changes while focusing on the most important part of healthcare – the treatment.

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    Outsource Payment Posting Services for Dental Billing
    Dental Payment Posting Services

    One of the final and key processes in RCM service is Payment Posting Services and it is a service that optimizes the entire revenue cycle. The accuracy in payment posting services techniques makes sure any denials and delays can be handled swiftly. Once the claim is finalized it will be paid or denied along with an EOB. The EOB will have all necessary explanations for the payment or denial. Opting for Spectrum Healthcare Inc.’ payment posting services is the ideal solution to manage the time-sensitive and time-consuming task of payment posting services.

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    What is Revenue Cycle Management
    Dental Revenue Cycle Management Services

    Smoother the administration, better the patient experience and revenue generation. Revenue Cycle is an end-to-end financial process that comprises multiple and complex tasks right from patient registration to payment posting. It is undoubtedly a critical operation that requires constant attention, industry expertise, and due diligence. If you fall short of trained individuals in your team or find it difficult to handle the mammoth paperwork and tasks, it is best to outsource to a leading and reputed revenue cycle management company – Spectrum Healthcare Inc.

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    What is Dental Denial Analysis
    Dental Denial Analysis

    By outsourcing dental billing denial analysis to Spectrum Healthcare Inc., businesses can effectively file insurance claims and obtain compensation. Our denial analysts understand healthcare denial management concerns and help organisations benefit from denial analysis.

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    21.00%

    Positive feedback

    From Doctors

    2+

    Experienced Clinics

    High Qualified

    321+

    Questions & Answers

    Your Questions

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    What Does Your Business Get From Accounts Receivable Services?

    • We allow you to focus on the core activity.
    • Spectrum Healthcare Inc. facilitates the positive completion of insurance claims.
    • We work according to your customer service strategy.

    How Do We Handle Your Accounts Receivable Services?

    • Claim Status.
    • Paid Amount and EOB.
    • Reason for Denial and EOB.
    • Missing information and resubmission.

    Common Accounts Receivable Problems in Dental Practices

    • Revenue from production is slipping between the cracks.
    • Your team is uneasy with collections.
    • Your team lacks the necessary experience to solve problems.

    Revenue from production is slipping between the cracks

    Between the time you finish a service and the moment a patient or insurance company actually pays for it, a lot can happen. Because it takes time and a deft touch to ensure that invoices are paid on time, it’s simple for a sizable amount of production revenue for many practises to simply become stranded. Our staff can assess your current output, carefully check your accounts receivable, and ensure that the bills are consistently paid on time.

    Benefits:

    Our Dental billing includes all aspects of submitting finished treatment to an insurance carrier for reimbursement in accordance with the patient’s insurance plan. This process begins with ensuring that the correct CDT codes are included on the claim and finishes with reimbursement from the insurance carrier.

    Users Question & Answer :

    The process of getting, verifying, and judging a practitioner’s qualifications so that they can give services. Credentials are written proof that a practitioner has the right permit, education, training, experience, or other qualifications.

    Credentialing Specialists make sure that the credentials and licences of medical staff members are up to date so that they can legally work in their field or specialty. These specialists keep track of when licences need to be renewed and work with medical staff to let them know what they need to do to keep their licences.

    To ensure that practitioners are up-to-date in their fields of expertise, a continuing review process known as credentialing and recredentialing is conducted to verify each practitioner’s training and knowledge in their respective fields of practise.

    Medical credentialing is the procedure by which medical practises, insurance networks, and hospitals evaluate and verify the qualifications of healthcare professionals. Certification is vital for both patients and physicians since it assures that health care professionals are qualified.

    The medical billing services provided by Spectrum Healthcare Inc. are excellent. Spectrum Healthcare Inc. medical billing services have been a fantastic fit for my little part-time private practise. Spectrum Healthcare Inc.’s medical billing service offered experienced advice and help in a very personal and timely manner.

    – Dr. Kelly S. Oggero ( Clutch )

    Mark, you’ve been a pleasure to work with. Thank you incredibly much. You “the team” have been a pleasure to work with; we overcame obstacles in the beginning, and the results are impressive. Everyone gives each other high fives.

    – Dr. Miller ( Goodfirms )

    Spectrum Healthcare Inc. stood out among the other dental billing insurances because there would be accountability. We had one point of contact for all claims and follow-ups, and we knew that person would handle everything for us.

    – Dr. Savio ( Google )

    Every day, they’re there, allowing our front desk and front management to do what they do best. And Spectrum Healthcare Inc. excels at what it does.

    – Dr. Scott Dudley ( Clutch )

    Spectrum Healthcare Inc. is a well-known group of medical billing and medical coding. Any project you work on with the Spectrum Healthcare Inc. Team results in elegant code and unmatched support, turning you into a true partner.

    – Dr. Watson ( Clutch )