How We Help Providers
Our Services
CAQH Profile Setup
CAQH (Council for Affordable Quality Healthcare) is a centralized, secure database used by most commercial insurance companies to verify a provider’s credentials. Keeping this profile accurate and up to date is essential to avoid delays, denials, and disruptions during the credentialing process.
At Absolute Revenue Consulting, we manage every aspect of your CAQH profile—so you never miss an attestation deadline or face delays due to outdated information.
What We Handle
✔️ CAQH Profile Setup
Starting from scratch? We’ll create your profile and enter all required information—including your education, licenses, malpractice insurance, and work history.
✔️ CAQH Maintenance & Updates
We routinely update your profile with license renewals, new practice locations, or credentialing changes to ensure compliance with payer requirements.
✔️ Document Upload & Management
We handle the secure upload of necessary supporting documents—such as your malpractice insurance, board certifications, and CV—ensuring your profile is always complete.
✔️120-Day Attestation Tracking
CAQH requires re-attestation every 120 days. We track your attestation deadlines and ensure you remain active and accessible to insurance payers.
✔️ Payer Access & Profile Optimization
We confirm that commercial payers can view your profile and that the information aligns with your NPPES, credentialing applications, and state licensure—avoiding data mismatches.
Commercial Insurance Enrollment
Joining a commercial insurance network gives you access to a broader patient base and ensures you’re reimbursed for the care you provide. But navigating the provider enrollment process with commercial payers like BCBS, Aetna, Cigna, Humana, UnitedHealthcare, and others can be time-consuming.
At Absolute Revenue Consulting, we take the stress out of becoming an in-network provider. We handle the entire process from start to finish—accurately and efficiently.
What We Handle
✔️ Payer Research & Strategy
We help you identify which commercial plans are worth joining based on your location, specialty, and patient population.
✔️ Complete Application Preparation
We fill out and submit all applications on your behalf, ensuring every field is correct and every required document is included.
✔️ Supporting Documentation Collection
We gather and submit your W-9, license(s), malpractice insurance, CAQH attestation, NPPES data, and more—exactly how each payer requires it.
✔️ Application Submission & Tracking
We submit applications through portals, email, fax, or direct uploads depending on each payer’s process—and we keep track of every submission.
✔️ Follow-Up & Communication
We follow up regularly with payer reps to check on your application status, resolve any missing or incorrect information, and advocate on your behalf to speed up approvals.
Revenue Recovery
Every dollar counts—and when your reimbursements are delayed, denied, or forgotten, it affects more than just your bottom line. Aging claims, especially those over 90 days, can slip through the cracks and cost your practice thousands in lost revenue.
At Absolute Revenue Consulting, we specialize in identifying, correcting, and recovering unpaid claims that have fallen outside the normal reimbursement window. Whether due to payer errors, documentation issues, or billing delays—we take action to bring your money back where it belongs.
What We Focus On
✔️ A/R Follow-Up on Aged Claims (90+ Days)
We dig into your aging reports, identify unresolved claims, and initiate targeted follow-up—by phone, portal, or appeal—to secure payment.
✔️ Denial Analysis & Resolution
We analyze common denial codes, identify trends, and correct the root issues preventing claims from being paid—fast.
✔️ Rebilling & Appeal Submission
We handle all necessary corrections, resubmissions, and formal appeals to ensure maximum recovery for previously denied or unpaid claims.
✔️ Payer Communication & Escalation
We contact insurance companies directly to resolve claim issues, verify receipt, and push escalations when needed.
✔️ Reporting & Transparency
You’ll receive clear reports outlining which claims were recovered, which were closed, and what trends we’ve identified to prevent future revenue leakage.
Why You’re Likely Missing Revenue
Lack of follow-up on aging A/R
Incorrect modifiers or missing documentation
Denials never appealed or resubmitted
Payments applied to incorrect patients or dates of service
Insurance eligibility or authorization issues that went unresolved
We help close the gaps in your revenue cycle by making sure no eligible claim is left behind.
Government Payor Enrollment
Enrolling with government payors like Medicare and Medicaid opens the door to serving broader populations—including the elderly, disabled, and low-income patients. But the enrollment process is known for being complex, highly regulated, and often frustrating to complete without help.
At Absolute Revenue Consulting, we specialize in managing the end-to-end enrollment process for Medicare, Medicaid, and Medicaid Managed Care Organizations (MCOs). We ensure your applications are complete, compliant, and submitted correctly—so you can focus on care, not paperwork.
What We Do
✔️ Medicare Enrollment (PECOS)
We handle your initial and group/individual Medicare applications via PECOS, ensuring all provider data and documentation is accurate and aligned with CMS requirements.
✔️ Medicaid Enrollment (State-Specific)
We manage the credentialing process for state Medicaid programs, whether you're enrolling as an individual, group, or facility. We stay current with specific state guidelines.
✔️ Medicaid MCO Enrollment
We assist with contracting and credentialing for Medicaid Managed Care Organizations like Aetna Better Health, Molina, Caresource, and others—each with unique application processes and contacts.
✔️ Documentation & Compliance Support
We collect and submit all required documents, including ownership disclosures, licenses, certifications, background checks (where applicable).
✔️ Ongoing Follow-Up & Status Updates
We stay in communication with CMS or state Medicaid offices to track your application, respond to any issues, and ensure timely approval.
"Proper credentialing ensures you're not just providing care—but getting paid for it. It's the bridge between your expertise and the system that supports it."
— Absolute Revenue Consulting LLC
