Prime Credential is now partnered with Empower EMR.
With Prime Credential – Physical, Occupational, and Speech Therapy clinics using Empower EMR can streamline credentialing, optimize reimbursements, and ensure compliance.
What We Do / Service Overview
Complete Credentialing Solutions for Providers and Clinics
Insurance Credentialing
We manage all necessary documentation and follow-up to get you credentialed with Medicare and commercial payers.
CAQH Profile Management
We keep your CAQH profile updated and ensure attestations are submitted every 90 days.
OIG & SAM Monthly Monitoring
Stay compliant with federal guidelines. We monitor OIG and SAM databases to protect your eligibility.
NPI Registration
Whether it’s for an individual provider or a group practice, we handle NPI setup and management (Type 1 and Type 2).
Real-Time Credentialing Tracking
Get full transparency with our real-time platform that allows you to monitor your credentialing status every step of the way.
Group Credentialing
We ensure your physical therapy clinics are fully credentialed at the payer level so you can bill correctly.
We Know Credentialing
At Prime Credential, we understand the critical role that credentialing plays in ensuring timely and accurate payments. With years of experience in therapy billing, we know firsthand how essential it is to get credentialing right from the start. Our team specializes in onboarding therapy providers quickly and efficiently, managing every step of the process to ensure both individual practitioners and their practice locations are fully credentialed with Medicare and a wide range of commercial insurance payers. We make sure your credentials are always accurate, up-to-date, and compliant, so you can focus on patient care while getting paid without delays.
The Prime Credential Advantage
Credentialing Services Tailored for Physical, Occupational, and Speech Therapy Providers
Expertise in Credentialing
Our experience with Medicare, Medicaid, and commercial insurance credentialing means faster approvals and fewer delays.
Focus on Therapy
We specialize in Physical, Occupational, and Speech Therapy, allowing us to understand the unique needs and challenges of credentialing in this sector.
End-to-End Process Management
From enrollment to OIG/SAM compliance monitoring, we handle it all so you can focus on providing care.
Real-Time Updates
Our online platform gives you 24/7 visibility into the status of your credentialing process, helping you stay on top of payer requirements.
Our Simple 3-Step Process to Get You Credentialed
We help our clients succeed by creating brand identities, digital experiences, and print materials that communicate clearly.
Step 1: Consultation
Schedule a consultation, and our team will assess your credentialing needs based on your practice and providers.
Schedule a CallStep 2: Contracting
We gather and submit all necessary documentation to Medicare and commercial payers. Then, we track the progress of your applications and follow up on any pending items.
Schedule a CallStep 3: Approval & Monitoring
Once credentialed, we provide real-time updates through our platform. We also handle ongoing monitoring to keep your credentials compliant.
Schedule a CallStep 1: Consultation
Schedule a consultation, and our team will assess your credentialing needs based on your practice and providers.
Schedule a CallStep 2: Contracting
We gather and submit all necessary documentation to Medicare and commercial payers. Then, we track the progress of your applications and follow up on any pending items.
Schedule a CallStep 3: Approval & Monitoring
Once credentialed, we provide real-time updates through our platform. We also handle ongoing monitoring to keep your credentials compliant.
Schedule a CallQuestions & Answers
Complete Credentialing Solutions for Providers and Clinics
Simply fill out our free consultation form or reach out to us directly. Each clinic is unique, and we’ll customize a service proposal to fit your specific credentialing and operational needs.
Turnaround times vary by payer. For most commercial insurance carriers, the credentialing process can take between 90 to 120 days. Some carriers may take longer, depending on their efficiency. Medicare credentialing is typically completed in 60 to 90 days. While we can’t control the payer’s speed, our team closely follows up on all your applications to keep the process moving.
You’ll have real-time access to Prime Credential’s cloud-based platform, where you can monitor the progress of your applications, retrieve documents, update your information, and check compliance milestones like CAQH attestations and NPI enrollments. Our platform gives you the transparency you need.
Prime Credential supports physical, occupational, and speech therapy clinics, ranging from solo practices to multi-location clinics. Whether you’re just starting a new clinic or expanding an existing one, we provide tailored credentialing services to help you navigate insurance enrollment and compliance.
Credentialing refers to the process of enrolling providers with insurance payers so that they can bill as in-network providers. Primary Source Verification (PSV) is a specific step in credentialing where we verify your education, licenses, and certifications directly with the issuing institutions to ensure accuracy.
We offer ongoing support for maintaining your credentialing status, including handling re-attestations, updating insurance panels, and ensuring compliance with payer requirements. Our platform makes it easy to keep track of these tasks.
Yes, Prime Credential helps physical therapy clinics with both Medicare and Medicaid enrollments, guiding you through the specific requirements and ensuring your applications are completed correctly to avoid delays.
Yes, we assist with both group and individual provider enrollments. Whether you’re enrolling a new clinic or adding a new provider to your existing practice, Prime Credential ensures all necessary steps are completed for smooth insurance panel enrollment.
Absolutely! We help clinics stay compliant by managing revalidation and recredentialing processes. This includes keeping track of deadlines, submitting updates, and handling ongoing credentialing maintenance for both providers and groups.
Yes, we assist with Medicare and Medicaid reassignments when adding new providers to your clinic or when a provider changes their group affiliation. We manage the paperwork and communication with the necessary agencies to ensure a smooth transition.
If an application is denied, Prime Credential will work with you to identify the reason for the denial and assist in the appeal process. We’ll guide you through the steps to correct the issues and reapply as quickly as possible.
Our pricing is customized based on the size of your clinic, the number of providers, and the specific credentialing services you require. Reach out to us for a tailored proposal, and we’ll provide a detailed breakdown of costs.
Yes, we help multi-state clinics navigate the credentialing process across different state regulations and insurance requirements. We handle provider enrollments for each location and ensure compliance across all regions you operate in.