Services

Credentialing support is available for solo providers and growing group practices. Services may include: 

• CAQH profile review, updates, and attestation guidance

• NPPES and NPI information updates

• Commercial insurance payer applications

• Medicare, Medicaid, and TRICARE enrollment support

• Group, location, and tax identification changes

• Application follow-up and status tracking

• Recredentialing and demographic maintenance

• Provider onboarding and information collection

Participation decisions, processing times, and effective dates are determined by each payer and cannot be guaranteed by RPS. 

Ongoing billing support helps keep claims moving and gives providers a clearer view of their revenue cycle. Services may include:

• Claim review and electronic submission

• Rejected claim correction and resubmission

• Denial and adjustment follow-up

• Payment and remittance posting

• Outstanding claim and aging follow-up

• Client payment posting and account tracking

• Payer portal and claim-status follow-up

• Organized billing reports and workflow tracking

The payer determines insurance reimbursement, processing times, and coverage decisions, and RPS cannot guarantee them. 

Practice setup support helps providers create organized systems when opening a new practice, transitioning platforms, or improving an existing workflow. Services may include:

• EHR account and practice configuration

• Services, fees, and appointment-type setup

• Intake documents, consent forms, and policy uploads

• Client portal and messaging workflows

• Documentation templates and progress-note setup

• Payment processing and client billing settings

• Insurance billing and claim-setting configuration

• Workflow review, cleanup, and troubleshooting

• EHR transition and implementation support

Available features and setup options vary by EHR platform. RPS will tailor support to the systems used by your practice. 

Administrative support is customized around your practice’s daily needs, ongoing projects, and organizational goals. Services may include:

• Provider and client onboarding workflows

• Office procedures and workflow organization

• Forms, templates, and document creation

• Recurring administrative task management

• Spreadsheet and practice-tracking systems

• Payer directory and demographic updates

• Client account and payment follow-up

• Practice organization and workflow cleanup

• Customized short-term or ongoing project support

Administrative services are based on the agreed scope of support and do not include clinical decision-making or direct clinical services.