We will closely work with your healthcare organization to create attractive value propositions for each insurance plan. Our experts highlight your unique capabilities, cost-effectiveness, and quality of care, effectively positioning your practice for favorable negotiations. Here is an outline of what you can expect going forward
Value Add Services
Advanced Credentialing Solutions for Modern Healthcare Providers
Physician credentialing is verifying and assessing a physician’s qualifications, training, experience, and licensure to ensure they meet the standards required to practice medicine within a healthcare organization.
If you’re searching for a credentialing services company with over 12 years of nationwide experience, you’ve come to the right place.
At Elexus MSO we provide tailored provider credentialing services for healthcare organizations. Our services include automated verification, real-time updates, and personalized support. We make your operations smoother, saving you time and resources while ensuring compliance and accuracy.
Our Comprehensive Physician Credentialing Services
Primary Source Verification
We ensure accuracy and compliance with regulatory standards, as we authenticate education, training, licensure, certifications, and other relevant information directly from the issuing institution or authority.
Provider Enrollment
We assist healthcare providers in enrolling with insurance networks, Medicare, Medicaid, and other payer organizations by completing and submitting enrollment applications.
Ongoing Monitoring and Re-credentialing
By proactively managing credentialing requirements and monitoring changes, we help healthcare organizations maintain regulatory compliance and streamline administrative processes.
Hospital Privilege Credentialing
Elexus MSO provides comprehensive support for hospital privilege credentialing. Our expert team navigates credentialing requirements, expediting the approval process and enabling healthcare organizations to focus on delivering quality care without administrative burdens.
License Verification
We assist healthcare organizations and providers in the application process for various licenses essential for practice, including:
Physician Licensing
Non-Physician Licensing
DEA Licensing
CDS Licensing
CLIA Licensing
Group Licensing
Payor Contract Negotiation
Elexus MSO specializes in negotiating favorable payor contracts for healthcare organizations, leveraging industry expertise and data analytics to optimize reimbursement rates and contract terms.
Secure Better Rates and Recognition with Elexus MSO Contract Negotiation Services
Elexus MSO specializes in providing comprehensive healthcare payor contract management to medical providers.
Our goal is to help your healthcare organization optimize reimbursement rates. We’ll navigate the complex landscape of insurance contracts so that you get the reimbursement rates you deserve.
We offer services to many health insurance companies, like UnitedHealthcare, Anthem, BCBS, Aetna, Cigna, Humana, etc.
How Does It Work?
Preparation
We start with a conversation to discuss the status of a medical provider’s contracts to grasp your needs fully. After deliberation, we submit a proposal outlining the process, fees, and plans with timelines going forward.
If you are interested in our services, we will provide you with a list of data and information. This will help you analyze your rates and create a strong proposal.
We compare your organization's rates for each CPT code with Medicare's rates to understand your financial performance in detail.
The Process
A detailed offer is made, showing the practice's special abilities and the potential savings for health plans.
The value proposition is submitted to each plan, and the negotiation process begins. We always push for higher rates, providing strong evidence and refusing to accept a negative response.
Elexus MSO remains dedicated to securing higher rates for our clients despite prolonged delays and obstacles. We tenaciously pursue negotiations until your practice attains the deserved rate increase.