Dermatology billing services
Dermatology Credentialing and Payer Enrollment
A new dermatologist who is not enrolled cannot be billed for, and every week of delay is a full week of that provider's production held in limbo. Credentialing is administrative work with a direct revenue clock attached, so we treat it as a tracked project rather than a background task.
What credentialing covers
- Initial Medicare enrollment through PECOS and Medicaid enrollment in each state where you practise.
- Commercial payer applications, contract requests and fee-schedule confirmation before signature.
- CAQH profile creation and the ongoing attestation cycle that payers check.
- Group roster additions, terminations and location changes so claims do not reject on an unlisted service address.
- Revalidation and re-credentialing deadlines tracked well ahead of the date, since a missed revalidation can deactivate billing privileges.
- Hospital and surgery-center privileging support where Mohs or surgical dermatology is performed off-site.
How we protect revenue during the wait
Enrollment timelines are set by the payer, not by us, and typically run 60 to 150 days. What we control is that applications go out complete on day one, follow-ups happen on a schedule instead of on request, and claims for the pending provider are held or billed under a permissible arrangement rather than submitted to be denied and lost to filing limits. You get a status view of every provider and payer combination in flight.
Frequently asked questions
How long does credentialing take?
Most commercial payers take 60 to 120 days and Medicare typically 45 to 90 days once a complete application is submitted. Incomplete applications are the main cause of longer timelines.
Can you credential a practice opening in a new state?
Yes, including Medicaid enrollment and the state-specific requirements that come with it.
Do you handle revalidations for existing providers?
Yes. Revalidation dates are tracked centrally and started ahead of the deadline so billing privileges are never interrupted.