
services Available & Pricing
On-Demand Webinars
Coming In The Future - Webinars! We will cover common topics of Insurance & Billing in Private Practice. Webinars will be offered on-demand for ease of fitting into your busy schedule and will have options for included Q&A/Consult time
2025 Pricing Structure
INsurance Contracting/Credentialing
What is included:
A free initial consultation to discuss pertinent information about your practice and needs. Direction/Consultation on business establishment available. Medicaid and Medicare enrollment and reassignment for both billing entity and service only providers. Network contracting and Credentialing with chosen managed care organizations and products.
I limit the number of new credentialing inquiries I take at any given time to provide the needed amount of attention to completing tasks accurately, ethically, and in a timely manner. If you are interested in service please reach out for information as to whether or not new clients are being accepted at this time
PRICING:
$150 - NM Medicaid enrollment for both individual and entity - **I do not offer BHA/432 enrollment at this time
$200 - Medicare enrollment for both individual and entity -
$150 - Each additional managed care organization (includes multiple product lines).
** Pricing is based on single clinician groups - additional charges may apply for medicaid and medicare enrollments with multiple clinicians as these agreements are priced indiviually.
*** Adding clinicians at a later date to existing groups/customers is priced individually upon request
Full Service Billing
*** Please note I am currently closed for new managed billing agreements. If you require referrals for others offering similar services please reach out***
What is included:
A free initial consultation to discuss pertinent information about your practice and needs. I am available to contract as a 3rd party biller for your practice. As part of the service I will bill primary/secondary/tertiary claims, make claim corrections, and do follow-up on aging claims. I will also assist with eligibility and benefits verifications as needed. You will receive a monthly report of all items billed and followed up on when invoiced. Payment reconciliation for NM customers is provided with breakouts for patient responsibility and medicaid payments for the purposes of GRT.
PRicing:
$75 per hour plus tax
COnsultations
About:
I am available for consultation as needed on a number of topics relating to practice management. With consultation you get to use my time however best works for you and to cover the specific topics you need help on. Some areas include
Business Organization Structure and Registration
Insurance Coverage 101 - Eligibility, Patient Responsibility, EOBs
Insurance Billing and Coding 101
Billing Do’s and Don’t - Network Regulations
Practice Management - Forms, EMR Setup, Clearinghouse Basics
Contracts and Credentialing
Practice Bookkeeping Basics
PRicing:
$70/hour
Available Payers
You may be wondering which Managed Care Companies I am familiar setting up for practice Contracting/Credentialing. The following list are common payers I have successfully set up practices with:
Aetna
Allwell
Ambetter
Blue Cross/Blue Shield
Cigna
Molina
NM Medicaid (State/HSD Level)
Novitas/ Traditional Medicare
OptumHealth (Formerly United Behavioral Health)
Presbyterian Health Plan
Tricare
United Healthcare (GEHA, UMR, Shared Services, All Saver’s, & Oxford)
Western Sky Community Care
The following payers I have limited experience with but can assist with applying if interested:
ComPsych EAP
Humana
TriWest
Lyra
Workman’s Comp
Not seeing what you’re looking for? Just ask and I will research if this is an option
*As a general rule i do not offer Medicaid credentialing outside of NM or Medicare Credentialing outside the Novitas MAC