Healthcare Contracting and Credentialing

Ally offers services to help our clients obtain new contracts, obtain rate increases on current contracts, and add new locations, programs, and services with your payors. We have experience across the United States with both commercial and governmental payers and understand what you should expect to be paid depending on your geographic location and therefore reimbursement tier. We work to maintain your contracts and practice information so that you can focus on your patients.

Ally also provides credentialing services for your providers. From helping them keep their profiles up to date and attested to ensuring your payers have your most recent provider roster. We work with your HR department to start the credentialing process long before the incoming provider begins services in order to minimize any claims denied or adjudicated without payment as a result of credentialing issues.

An important part of the Revenue Cycle occurs with contracting and credentialing. There are many types of contracts and nuances to both contracting and credentialing that can increase the amount of services you can bill for, reduce the bundling of services, and minimize the overhead required to sustain your billable services. We work with our clients to help them understand these nuances and plan strategically for their contracts and staffing needs.