Orkatok RCM Services facilitates the provider credentialing process with insurance companies, Medicare, Medicaid, and other payers. We gather all necessary documentation, including medical licenses, certifications, and training credentials, and submit applications on behalf of healthcare providers. Our team tracks the progress of credentialing applications, follows up with payers as needed, and ensures that providers are credentialed and eligible for reimbursement in a timely manner.

Orkatok RCM Services assists healthcare providers in enrolling with various insurance plans and negotiating provider contracts with payers. We identify participating insurance networks that align with the provider's specialty and patient population, submit enrollment applications, and negotiate favorable contract terms, including reimbursement rates, fee schedules, and contract terms and conditions.

Once providers are credentialed and contracted with payers, Orkatok RCM Services manages ongoing provider enrollment maintenance tasks. This includes updating provider information, renewing credentials and licenses, and responding to any changes or updates required by payers to maintain active participation status and eligibility for reimbursement.

Orkatok RCM Services also provides support for facility and clinic contracting, helping healthcare organizations negotiate contracts with hospitals, clinics, and other healthcare facilities. We review and analyze contract terms, negotiate favorable reimbursement rates and terms, and ensure that contracts are aligned with the provider's financial and operational objectives.

Orkatok RCM Services monitors provider contracts for compliance with terms and conditions, including reimbursement rates, billing requirements, and quality performance metrics. We conduct regular audits and reviews to ensure that providers are adhering to contract requirements and maximizing reimbursement opportunities.

Orkatok RCM Services assists healthcare providers in expanding their provider networks by identifying new contracting opportunities and negotiating contracts with additional payers and healthcare organizations. We leverage our industry expertise and payer relationships to facilitate network expansion and increase patient access to healthcare services.

Our team collaborates with healthcare providers to develop revenue maximization strategies within the context of provider credentialing and contracting. This may include optimizing reimbursement rates, negotiating value-based contracts, and implementing billing and coding best practices to ensure maximum revenue capture and financial success.