Let us help you get paid!

Our Experienced credentialing staff will work through the enrollment process to get you ENROLLED & CONTRACTED with health plans to enable billing for in-network reimbursement. 

We’re with you for the long run

our consulting services CAN help prepare YOU to transition FROM FEE-FOR-SERVICE TO VALUE-BASED PAYMENT MODELS AND HEALTHCARE MANAGEMENT.

WE’LL ENSURE YOU’RE READY FOR THE ANTICIPATED SHIFTS in the patient POPULATION AND HEALTHCARE SYSTEM.

You can count on us to…

  • Partner with you and truly listen

  • HANDLE ALL CREDENTIALING SO YOU CAN BE WORRY FREE TO FOCUS ON YOUR PATIENTS AND BUILD YOUR PRACTICE

  • Be your advocate with payOrs

  • safeguard your personal information

Our Values:

  • excellence

  • integrity

  • transparency

  • mutual trust and respect

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We want to be your partner on the provider pathway!

 

THE PROVIDER PATHWAY…

Behind every moment with a patient are hours of study, preparation and dedication. Updating your CAQH profile, credentialing and enrolling with insurance companies are vital steps but not what inspired you to practice medicine! We are here to take on those administrative tasks so you can get back to your patients and get paid for your services, worry-free. The image below is an overview of the Pathway. Feel free to contact us with questions!

 
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CERTIFICATION AND ACCREDITATION

 As of October 2023, in order to bill for all available behavioral health services, the state of Ohio now requires behavioral health agencies to obtain national accreditation, as well as certification with the Ohio Dept of Mental Health and Addiction Services (OhioMHAS or OMHAS). (Once an entity is nationally accredited, it is 'fast-tracked' to have 'deemed certification' with OMHAS).

National accreditation may be with CARF, COA or The Joint Commission:

- CARF: Commission on Accreditation of Rehabilitation Facilities - https://carf.org/

- COA: Council on Accreditation - https://www.social-current.org/

- The Joint Commission - https://www.jointcommission.org/

Pro Health Credentialing can help you apply for accreditation with CARF or COA and prepare for the virtual and on-site survey visits.