Professional Dental Credentialing Services for Every Practice Across the United States
Amoha RCM covers every step of the credentialing process for dental practices in all 50 states, from provider enrollment to re-credentialing management, ensuring that your practice is always billing, networked, and revenue-protected.
What Are Dental Credentialing Services and Why Does Your Practice Need Them?
Dental credentialing services are a process in which a provider's qualifications, education, and professional history are verified with insurance companies and networks before they can participate and bill as a provider in a network.
If you are not credentialed, your providers will only be able to see insured patients as out-of-network, which will increase patient costs, decrease patient volume, and decrease reimbursement predictability for your practice.
Without Credentialing
- Patients billed out-of-network or not billed at all
- Revenue missing for weeks or months
- Documentation errors delaying the process
- Missed re-credentialing halting billing overnight
With Amoha RCM
Professional dental credentialing specialists take away these risks for your practice by handling every aspect of the credentialing process with the level of detail and follow-through your practice relies on.
- Every step handled by dental credentialing specialists
- Meticulous documentation — zero errors, zero omissions
- Proactive re-credentialing deadline management
- Full network participation from day one
End-To-End Coverage
What Our End-To-End Credentialing Services Cover for Your Practice
Amoha RCM's dental credentialing services encompass the entire process of dental credentialing, which we execute as a single, cohesive operation. It starts with the initial enrollment of the providers.
"We take care of the paperwork so you don't have to."
Every dental provider credentialing process starts with the preparation and submission of the provider enrollment application to all the major dental networks, including Delta Dental, Cigna, Aetna, and Medicaid. Our dental credentialing services meticulously document the application process to prevent any errors or omissions that could lead to expensive delays. We take care of the paperwork so you don't have to.
Insurance network credentialing is a strategic decision that will have a direct influence on your access and revenue opportunities. Amoha RCM's dental credentialing experts have extensive experience in PPO, HMO, Medicaid, and Medicare crossover network credentialing and understand the requirements and application process for every major insurance network that your patients use.
Your CAQH profile is the cornerstone of your overall credentialing process. An out-of-date CAQH profile will cause a delay in every single credentialing application that utilizes your profile. Amoha RCM will take care of your CAQH profile setup and regular updates so that your profile is current and assist your overall credentialing process without any hassle for your team.
It is a requirement for most payers to undergo a process called re-credentialing, which needs to be done every two to three years. Failure to meet this requirement will not get you a warning letter, but your billing will stop. Amoha RCM will help you keep track of all your re-credentialing deadlines with your payers and providers, ensuring your billing never skips a beat.
The first step in getting credentialed is submitting your application to a payer. What happens after you submit your application will determine how quickly you get credentialed with a particular payer. Amoha RCM will follow up with your payers on every pending application, keep you updated on the status of your application in real-time, and take care of any requests for additional documentation with your payers right away, so nothing slows down the process for you.
Managing multiple providers and locations is an entirely different level of administrative complexity. At Amoha RCM, we provide one solution to handle credentialing for dental groups and DSOs with many locations, enabling them to enroll at the same time across all sites and networks while keeping the same level of accuracy and care for each provider.
Why Smart Dental Practices Choose to Outsource Dental Credentialing Services to Amoha RCM
Most dental practices can't afford to handle credentialing in-house, even with a specialist, due to the time and effort it requires. It can take 40 to 60 hours of application time per provider. And then there's the follow-up, the CAQH, and the re-credentialing. It's an administrative nightmare that can overwhelm even the most efficient front office team, who already have a dozen other things to attend to.
With the help of an outsourcing firm like Amoha RCM, your dental practice can outsource dental credentialing services and eliminate the credentialing burden. This means no more chances of document and application mistakes, which can delay the process and hurt your bottom line.
The faster your practice receives credentialing, the sooner you can begin seeing insured patients and increasing your revenue. It has been found that the time to credential a provider can be reduced by as much as 30 to 50% with the help of an experienced outsourcing firm. Additionally, as a leading dental RCM firm, we are capable of handling credentialing in addition to billing, accounts receivable, and financial reporting through our dental accountant support services, thus providing a comprehensive solution to your practice with a single source handling all your financial needs.
Dental Credentialing Solutions for Every Practice Type and Size
Amoha RCM is a top dental RCM company in the USA that caters to all kinds of dental practices in all 50 U.S. states. Our services cater to:
Entering Insurance Networks
Dental practices that are entering insurance networks for the very first time.
Adding New Providers
Dental practices that are adding associate dentists or new specialists to existing practices.
Multi-Location Practices
Dental practices that have multiple locations and need to credential providers across multiple locations simultaneously.
Dental Groups & DSOs
Dental groups or DSOs that require scalable and high-volume credentialing infrastructure to ensure that all providers remain billing-ready across all locations.
We offer special credentialing services for orthodontists, oral surgeons, periodontists, prosthodontists, and endodontists, and these dental specialties need specific credentialing and insurance enrollment steps that inexperienced credentialing companies often get wrong.
Why Amoha RCM Is Among the Best Dental Credentialing Services Providers in the USA
Among the many dental credentialing companies operating across the U.S., Amoha RCM stands out as a trusted partner for practices focused on maintaining strong network participation and protecting their revenue stream.
Dental-Exclusive
We're a dental-exclusive credentialing company. This means that every single member of our staff, as well as every single credentialing project we undertake, is 100% focused on dental networks, dental enrollment, and dental credentialing challenges.
Dedicated Expert Per Client
This also means that every single client will be assigned a dedicated dental credentialing expert who will be directly accountable for managing their providers' enrollment processes, deadline tracking, and communication with each respective payer.
Real-Time Status Reporting
Additionally, we provide real-time, transparent status reporting on every single active credentialing project we're working on, ensuring you're always fully informed about the current status of each and every provider's application.
HIPAA-Compliant Handling
We also utilize HIPAA-compliant document handling, as well as flexible engagement options, because we know that's the only kind of contract we need to secure to earn your continued partnership.
Flexible Engagement
Flexible engagement options — no long-term contracts needed to keep you. Our retention relies solely on doing an excellent job every single month.
Trusted Dental Credentialing Services for Every Practice, Across All 50 U.S. States.
Getting Started With Amoha RCM Dental Credentialing Services Is Straightforward
Three clear steps — from a free assessment to ongoing management that keeps your practice billing-ready every day.
Step 1: Free Credentialing Assessment
We'll perform a free assessment of your current credentialing status, current payer enrollments, re-credentialing deadlines, and any current gaps in your credentialing status, with no obligation to proceed.
Step 2: Customized Credentialing Plan
Our team of dental credentialing experts will create a comprehensive credentialing strategy for your providers, specialties, and target networks. We'll handle every detail of each credentialing application from start to finish.
Step 3: Ongoing Credentialing Management
We'll monitor your credential status in real-time, keeping your practice credentialed and billing-ready at all times. No additional work for your office!
Take the First Step Today
Begin with a completely free, no-obligation credentialing assessment today.
Frequently Asked Questions
The dental credentialing services include verifying the providers' credentials with the insurance payers and enrolling them into the network. The dental credentialing process includes initial enrollment, CAQH management, and re-credentialing of the providers' credentials.
Ready to Partner With a Dental Credentialing Provider That Keeps Your Practice Billing-Ready?
Your entire team deserves full enrollment, active credentialing, and maximum in-network revenue from day one. Amoha RCM gets you there with professional dental credentialing services that take away the hassle, avoid costly delays, and keep your network active and billing-ready at every step of your journey.
Begin with a completely free, no-obligation credentialing assessment today.