Optimize your practice operations with seamless credentialing and contracting support that ensures compliance and efficiency. Simplify provider onboarding with end-to-end credentialing support for insurance payers and network inclusion Leverage expertise in contract review, negotiation, and compliance to secure favorable terms for your practice Stay compliant with payer requirements and regulatory standards through accurate and timely documentation Supported for credentialing and contracting annually. Average time saved on provider enrollment processes. Maintaining compliance with payers and credentialing guidelines. Credentialing and contracting are two of the most critical elements for any healthcare provider looking to expand their patient base and improve financial health. Without being properly credentialed with insurance networks, a provider can miss out on vital opportunities for patient care and reimbursement. Similarly, without strategically negotiated payer contracts, practices may struggle with insufficient reimbursements, potentially hindering their growth. Kona Medical Consulting brings together both credentialing and contracting to ensure your practice has the best chance to succeed in an increasingly competitive healthcare marketplace. Credentialing is a complex, time-sensitive process that requires accuracy and attention to detail. Our experts at Kona ensure that your healthcare providers are enrolled and credentialed with all major insurers, including government programs like Medicare and Medicaid, and private payers. We manage the entire process, from the initial application submission to the re-credentialing process, handling all communications with insurers and regulatory bodies to ensure no delays or disruptions in your revenue cycle. Our comprehensive and proactive credentialing service ensures that your practice remains compliant with all necessary state and federal regulations and avoids costly errors or omissions. Contracting with insurers and payers is the next crucial step to ensure your practice is financially stable and well-positioned to grow. At Kona Medical Consulting, we work on your behalf to negotiate favorable contracts with insurance companies. Our team has extensive experience in understanding the intricacies of insurance reimbursement policies, and we advocate for the best possible rates and terms for your practice. We ensure that your payer contracts are optimized for your financial goals and that any discrepancies or unfavorable clauses are addressed and rectified. By negotiating strategic agreements, we help you secure the highest possible reimbursement for your services, allowing your practice to thrive. Managing credentialing and contracting can be complex and time-consuming, especially with ever-changing payer requirements and compliance standards. Our team specializes in simplifying these processes for healthcare practices, ensuring timely provider enrollment, accurate documentation, and seamless communication with insurance payers. We take the burden off your team, allowing you to focus on delivering excellent patient care while we handle the administrative complexities. From negotiating favorable contract terms to ongoing compliance, our experts ensure your practice runs efficiently and profitably. Provider Credentialing Payer Contract Negotiation Contract Renewals & Amendments Credentialing Verification Medicare/Medicaid Enrollment Insurance Network Enrollment Provider Enrollment Support CAQH ProView Management Reimbursement Rate Negotiation Contract Compliance Monitoring Credentialing Expiration Tracking Audit & Review Documentation Credentialing Audits Risk Management for Contracting Payer Relations Management State & Federal Compliance Support Telemedicine Credentialing & Contracting Insurance Credentialing for Multiple Payers Out-of-Network Contract Negotiation Credentialing for Specialized Healthcare Providers Credentialing and Contracting
Provider Enrollment and Credentialing
Contract Negotiation and Management
Compliance and Documentation Support
By the Numbers
50+ Insurance Networks
30 Days
100% Accuracy
Credentialing and Contracting Service
The Essentials of Successful Healthcare Operations
Credentialing Services: Connecting Your Providers with the Right Networks
Contracting Services: Securing the Best Payer Agreements for Your Practice
Simplified Credentialing and Contracting for Every Specialty
What We Offer
Provider Credentialing
Payer Contracting
Maintenance and Monitoring
Compliance Support
Pricing
Ready to streamline your operations and elevate your practice?
Per Provider: Starting at $500 per provider for initial credentialing
Ongoing Maintenance: Retainer packages starting at $1,000 per month, which include re-credentialing, contract updates, and monitoring
Need Related Services?
Claims Management
Simplify and accelerate your claims process with our comprehensive management services. We ensure accurate submissions, reduce denials, and improve reimbursement turnaround times while providing actionable financial insights.
Provider Enrollment
Streamline the enrollment process with payers and insurance networks. From credentialing assistance to maintaining compliance with regulations, we ensure your providers are enrolled swiftly and efficiently, saving time and resources.
Contract Negotiations
Maximize your financial outcomes through strategic payer contract negotiations. Our experts secure competitive reimbursement rates, handle contract amendments, and manage renewals to keep your practice running smoothly.