services

Credentialing & Contracting

For behavioral health and medical providers, proper credentialing and payer contracting are essential to receive timely reimbursement and build long-term payer relationships. At Compass Revenue Solutions, we take the complexity out of the credentialing process and ensure your organization is set up for success with each insurance plan. From initial enrollment to contract negotiation and renewals, our staff guide you through every stage of payer onboarding and participation. 

At Compass Revenue Solutions, our behavioral health billing experts work on behalf of your company to expedite billing and effectively process claims to increase your review. 

Laying the Foundation for Reimbursement 

Credentialing is the process of verifying a provider’s qualifications, licenses, education, and training, while contracting involves formalizing an agreement with insurance companies to establish in-network status and reimbursement rates. Errors, delays, or incomplete applications can result in payment delays or loss of credentialing status—impacting your bottom line. Our team works to eliminate these risks by managing each step with accuracy and urgency. 

Credentialing and Contracting Services 

Compass Revenue Solutions supports both new and established providers with full-service credentialing and network contracting, including: 

  • Provider enrollment with commercial and government payers 
  • CAQH profile setup and maintenance (upon request) 
  • Insurance panel applications and follow-ups 
  • Contract and rate negotiation 
  • Contract renewals and expirations tracking 
  • Ongoing credentialing status monitoring (upon request) 

The Compass Advantage 

We start with a full intake of your practice’s current status and target payers. Whether you are entering a new market or managing multi-state licenses and payers, we tailor credentialing workflows to your timelines and goals. We stay in contact with payers throughout the process, providing weekly updates and proactive follow-up to keep applications on track. 

When negotiating contracts, we leverage our payer knowledge to advocate for terms that reflect your services, licensure, and regional market value ensuring sustainable reimbursement rates and reducing administrative burdens. 

Benefits of Utilizing Compass Revenue Solutions 

Accelerated Enrollment: We move quickly to get your providers credentialed and eligible to bill faster.

Improved Reimbursement Rates: Our negotiation expertise ensures you’re not underpaid for the services you provide.

End-to-End Support: From initial paperwork to final contract execution, we manage it all.

Credentialing Transparency: You’ll always know the status of your applications with clear, real-time updates. 

Start building stronger payer relationships and securing the rates you deserve. 

 

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Our mission is to empower behavioral health providers by delivering expert billing and revenue cycle management services that ensure financial stability, operational clarity, and the ability to focus on patient care. We are dedicated to navigating the payer-driven complexities with integrity, innovation, and unmatched attention to detail, serving as a true partner in our clients’ growth and success.