Comprehensive Healthcare Solutions

Expert services to optimize your practice, improve revenue, and enhance patient care

State Licensing & Credentialing Services

Comprehensive Medical Credentialing & Provider Enrollment

Why Credentialing Matters

Credentialing involves far more than completing applications. Every submission must precisely align with licensing records, certifications, and payer requirements. Even a small discrepancy—such as an incorrect date or missing document—can lead to significant delays. With payer guidelines constantly evolving, credentialing requires ongoing attention. Without proper oversight, provider approvals can be delayed, reimbursements may slow, and in-network participation can be at risk.

Our Comprehensive Approach

Our medical credentialing and provider enrollment services manage the entire insurance enrollment process from beginning to end. We collect, verify, and organize all required licenses, certifications, and training documentation. Our team prepares and submits payer applications, monitors their status, and follows up consistently with insurance panels until approvals are secured. We also manage recredentialing to ensure continuous compliance and uninterrupted network participation.

With our accelerated physician credentialing approach, each application is prepared to payer standards, timelines are reduced, and credentialing remains aligned with your practice's operational goals. The result is faster approvals, consistent in-network status, and a smoother revenue cycle.

Initial Credentialing

Complete credentialing setup for new providers with all required documentation and verification

Re-Credentialing

Ongoing management of credential renewals to maintain uninterrupted network participation

Credentialing Verification

Thorough verification of all credentials against payer and regulatory requirements

Provider Enrollment

Complete enrollment with insurance payers and healthcare organizations

Experience the Advantage of Our Trusted Provider Credentialing Services

At Align Assist, we deliver comprehensive provider credentialing solutions for physicians, hospitals, home healthcare agencies, laboratories, and DME providers—helping healthcare organizations optimize revenue and accelerate payer approvals. Our tailored credentialing services are designed to simplify payer enrollment, including Assignment of Benefits (AOB) management, whether a provider is starting their first practice after medical school, transitioning between practices, onboarding a new physician, or enrolling with additional payers.

Our dedicated credentialing specialists manage every detail of your documentation with accuracy and efficiency, ensuring a smooth and stress-free enrollment process. By reducing paperwork delays and minimizing errors, we help practices maintain compliance and avoid unnecessary denials. Combined with streamlined billing support and outsourced patient statements, our services improve cash flow, strengthen revenue cycle performance, and support timely collections—all through cost-effective solutions that give your practice a competitive edge.

Frequently Asked Questions

What is the credentialing process?

Credentialing is the process of evaluating and verifying a healthcare provider's qualifications, experience, licenses, and certifications to ensure they meet industry and payer standards.

What is required for initial credentialing?

Initial credentialing typically includes a completed application, verification of education and training, proof of licensure, board certifications, and malpractice insurance coverage.

How long does the credentialing process take?

The timeline can vary depending on the healthcare organization, insurance payer, and type of credentialing. At Align Assist, we streamline the process to ensure efficiency and minimize delays for our clients.

How much does credentialing cost?

Credentialing costs differ based on the payer or organization. Align Assist offers competitive and cost-effective pricing to make credentialing accessible for providers and practices of all sizes.

Medical Billing & Coding Services

Expert Billing Consulting That Ensures Providers Get Paid On Time

Maximize Revenue with Expert Billing Support

Our medical billing consulting services are designed to help healthcare providers of all specialties maximize revenue and get paid promptly. By combining precise coding, efficient claim filing, proactive A/R follow-up, ICD-10 expertise, and thorough auditing, our billing consultants make sure your practice receives every dollar it's entitled to—when it's due.

We support practices of all sizes in resolving lost, delayed, or underpaid claims, offering 24/7 guidance and expert consulting tailored to your needs.

Benefits of Our Medical Billing Consulting Services

  • Ensure timely payments so providers can focus on patient care
  • Improve cash flow by accelerating claims processing
  • Identify and resolve billing issues that may delay reimbursements
  • Minimize administrative burden by streamlining claim management
  • Prevent revenue loss by detecting and correcting billing errors
  • Maintain compliance with all regulatory and payer requirements
  • Shorten claim turnaround times for faster reimbursements
  • Reduce costs associated with hiring, training, and software investments

Medical Coding Expertise

01

CPT Codes

These codes are grouped into three categories. The first group is divided into numeric codes corresponding to different areas of medicine, such as radiology, surgery, & anesthesia. The second category contains alphanumeric codes identifying performance measurements & laboratory or radiology test results. Finally, the third category of codes is dedicated to emerging medical technology.

02

ICD Codes

The ICD codes are a system used to describe the cause of a patient's illness, injury, or death. The WHO established this code in the 1940s, & each update adds a numeral to indicate the code's version. ICD-10 refers to the 10th version of the code. Then, clinical changes are made to these codes, which make it possible to record a wider range of illnesses, injuries, & causes of death in detail.

03

HCPCS Codes

The HCPCS coding system is essential for recording medical services, equipment, or procedures that are not covered by CPT codes. It is the official coding system for Medicare & Medicaid, & it is crucial for medical coders to be familiar with it. HCPCS accurately records medical procedures, similar to CPT codes, to ensure patients receive the appropriate level of care.

Why Outsource Medical Billing?

Managing billing and coding internally can be complex, time-consuming, and costly, often pulling valuable time away from patient care. Outsourcing your medical billing to a trusted partner like Align Assist allows your practice to operate more efficiently while ensuring accuracy, compliance, and faster reimbursements.

If billing challenges, claim denials, or administrative overload are affecting your practice's performance, outsourcing may be the right solution. Align Assist helps simplify your revenue cycle, improve collections, and support long-term practice growth.

Denial Management Services

Recover Lost Revenue and Streamline Your Billing Process

Get Back on Track with Expert Denial Management

Managing denied claims can be challenging and time-consuming, but with Align Assist, your denied claims are handled by experienced professionals. Our team stays up to date with the latest best practices in denial management and has a proven track record of helping healthcare providers recover lost revenue efficiently.

According to the Healthcare Financial Management Association, healthcare providers experience an average denial rate of 5–10% of submitted claims. Left unmanaged, these denials can result in significant revenue loss, making effective denial management essential for maintaining financial stability.

5-10%
Average Denial Rate
48 Hours
Resolution Time
100%
Revenue Recovery Focus

Key Benefits of Our Denial Management

  • Identify the reason for each denial and address it promptly
  • Reduce collection costs and administrative burden
  • Integrate software and workflow solutions to prevent future denials
  • Resolve denials within 48 hours of receipt
  • Analyze denial trends to identify root causes and reduce costly errors
  • Improve account collections and overall revenue cycle efficiency
  • Minimize manual effort in reviewing and correcting denial errors

Chronic Care Management (CCM)

Transformative Healthcare for Chronic Conditions

What is Chronic Care Management?

Chronic Care Management is a transformative healthcare model dedicated to enhancing the lives of individuals with chronic conditions. Through proactive, patient-centered approaches, it prioritizes continuous support, collaborative care, and comprehensive coordination among healthcare professionals. By emphasizing preventive measures, education, and addressing broader aspects of patients' lives, this innovative strategy strives to minimize the impact of chronic illnesses.

1

Identify Chronic Conditions

If your EMR or an AWV recognizes a patient with two chronic conditions, we will automatically enroll that individual as eligible for CCM. Additionally, we provide guidance for manually setting up patient profiles through straightforward and user-friendly guides.

2

Ensure Compliance

Align Assist helps ensure compliance and organization across all billable processes, including obtaining informed patient consent. From documentation to billing, Align Assist simplifies the compliance workflow.

3

Create a Care Plan

Developing a comprehensive care plan can be time-consuming. Align Assist streamlines this process, allowing practitioners to efficiently select the appropriate items for each patient using easy-to-use checkboxes.

4

Care Coordination

Align Assist makes it easier for doctors, nurses, and other healthcare providers to collaborate and support patients with long-term health needs through advanced technology and smart data tools.

Medication Management

Comprehensive medication management services with personalized schedules and reminders to prevent missed doses

Advanced Technologies

Remote monitoring devices and secure communication platforms for seamless patient-provider connectivity

Health Monitoring

Continuous tracking of key health indicators with early detection of potential issues

Lifestyle Coaching

Personalized support with evidence-based strategies, nutritional guidance, and stress management

Remote Patient Monitoring (RPM)

Real-Time Healthcare Through Technology

What is Remote Patient Monitoring?

Remote Patient Monitoring (RPM) is a modern healthcare solution that connects patients with their providers through technology, offering real-time insights into health and wellness. RPM goes beyond simply tracking vital signs—it empowers patients to actively manage their health.

This service uses advanced devices and digital tools to collect medical data from patients in their homes and securely transmit it to healthcare providers. Clinicians can then monitor health status, detect potential issues early, and make informed care decisions. RPM is particularly valuable for managing chronic conditions such as diabetes, heart disease, and asthma, helping improve outcomes and overall quality of life.

Home-Based Care

Monitor patients from the comfort of their homes

Real-Time Data

Instant access to vital health metrics

Early Detection

Identify health issues before they escalate

Cost Effective

Reduce hospital readmissions and ER visits

Virtual Medical Assistant Services

English & Spanish Support Available

Streamline Administrative Tasks

A virtual medical assistant plays a crucial role in streamlining administrative tasks, improving patient support, and allowing healthcare providers to focus on delivering high-quality care.

Appointment Scheduling

  • Schedule and manage patient appointments efficiently
  • Send automated reminders to reduce no-shows
  • Coordinate and reschedule appointments as needed

Patient Communication

  • Respond to inquiries via phone, email, or online messaging
  • Manage patient portal messages
  • Handle prescription refill requests and communicate with pharmacies

Administrative Support

  • Organize and maintain secure patient records
  • Assist with data entry, document management, and billing tasks
  • Handle insurance-related administrative tasks

Prior Authorizations

  • Manage medication and evaluation prior authorizations
  • Ensure timely submission to avoid delays in patient care

Verification of Benefits

  • Contact insurance companies prior to appointments to confirm coverage
  • Ensure CPT codes align correctly to prevent claim denials or rejections

Referral Coordination

  • Assist in coordinating referrals to specialists
  • Follow up with patients on test results or specialist appointments

Virtual Scribing Services

English & Spanish Support Available

Real-Time Documentation Excellence

Our virtual scribing services offer a seamless solution by deploying trained medical scribes to document patient encounters in real time. This allows healthcare providers to focus fully on delivering high-quality care while our skilled scribes handle accurate and efficient documentation remotely. Using advanced technology, we ensure that patient records are precise, timely, and compliant with all regulations, enhancing overall productivity and workflow.

Key Responsibilities of Virtual Scribes

  • Document patient encounters in real time using EMR systems
  • Ensure all encounter notes are accurate, complete, and HIPAA-compliant
  • Organize, update, and maintain patient medical records
  • Review patients' medical and social history for context
  • Enter orders for diagnostic tests, medications, or other treatments
  • Manage lab orders and send prescriptions to pharmacies
  • Assign correct ICD-10, CPT, and visit codes
  • Collaborate with healthcare providers and staff
  • Continuously update medical knowledge and best practices
  • Provide feedback to improve documentation processes

Bilingual Virtual Scheduler

English & Spanish Administrative Support

Seamless Bilingual Support

Our bilingual virtual schedulers are fluent in English and Spanish, providing seamless support for healthcare offices, clinics, and medical practices. They handle patient communications, appointment coordination, and administrative tasks with professionalism and efficiency, ensuring your office runs smoothly while serving a diverse patient population.

Key Services Include

Manage patient appointment scheduling and calendar coordination

Handle incoming calls, emails, and patient inquiries in both languages

Send appointment reminders and follow-ups to reduce no-shows

Assist with patient intake forms and information updates

Coordinate referrals, lab orders, or specialist visits

Support general administrative tasks such as data entry

Digital Media Marketing Services

Comprehensive Digital Solutions for Healthcare Practices

Thrive in the Digital Landscape

Our digital media marketing services are designed to help your business thrive in the digital landscape. From marketing strategies to website development, SEO, and social media management, we provide comprehensive solutions tailored to your unique goals.

Digital Marketing

  • Develop result-driven campaigns to generate leads and increase traffic
  • Create comprehensive strategies aligned with your business objectives
  • Track performance and provide detailed reports to measure ROI

Website Development

  • Custom website design and development for a unique, user-friendly experience
  • Mobile-responsive designs to ensure seamless access on all devices
  • E-commerce solutions to facilitate online sales and transactions

Search Engine Optimization (SEO)

  • Conduct keyword research and analysis to target the most relevant terms
  • Perform on-page optimization to boost search engine rankings
  • Implement off-page strategies, including quality backlink building

Social Media Marketing

  • Create customized social media strategies to engage your target audience
  • Develop and curate consistent content to increase brand awareness
  • Run targeted social media advertising campaigns to expand reach

Ready to Transform Your Practice?

Contact us today to learn how our comprehensive healthcare solutions can help you optimize operations, increase revenue, and improve patient care.

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