Your clinicians are rounding on residents. The payers have not cleared them to bill yet.
The Cost of Skilled Nursing Credentialing Delays Adds Up Fast
A new attending starts rounding and the visits begin. On paper the coverage gap looks solved. Then the claims sit, because enrollment runs on a different clock.
Credentialing for post-acute care breaks down at a few predictable points:
- Medicare, managed Medicaid, and dual-eligible plans each enroll on separate timelines.
- An agency nurse practitioner covers three buildings and is paneled at none.
- A CAQH attestation lapses at 120 days and every CAQH profile freezes.
- An 855A revalidation slips in Medicare PECOS, and one missed owner disclosure stalls the facility.
- High staff turnover means reassignments fall behind faster than anyone tracks.
Every one of these keeps a working clinician unbillable.
Not ready to talk yet? Grab the Provider Enrollment Readiness Checklist first.
What Software-Led Credentialing Platforms Can't Do
Software submits. People close.
A platform files an application and marks it sent. It cannot call the payer when a file goes quiet. It cannot appeal a closed Medicaid panel or chase a stalled reassignment. Enrollment lives in the follow-up, and follow-up needs a person.
How HRG Handles Skilled Nursing Credentialing Services
We work inside your systems and payer portals, not a separate dashboard.
- Medicare, Medicaid, and commercial enrollment for attendings, NPs, and PAs.
- Benefit reassignment across every facility a clinician covers.
- CAQH profile management and re-attestation every 30 days.
- Primary source verification with license, DEA, and COI tracking.
- Payer contracting and rate work as panels and volumes change.
This is the same credentialing and contracting work HRG has run for 26 years. See our complete skilled nursing credentialing guide on our blog.
When a rate sits too long, we benchmark it and open the conversation.
Skilled Nursing Credentialing Services Compared
| Element | Credentialing platforms | HRG |
|---|---|---|
| Application submission | Automated form fill | Filed and owned end to end |
| Post-submission follow-up | Status dashboard | We call the payer until it clears |
| Closed Medicaid panel | Flagged, then stuck | We appeal and pursue an exception |
| Facility reassignment | Your team tracks it | We manage 855R across every building |
| CAQH attestation | Reminder emails | Re-attested every 30 days |
| Rate negotiation | Not offered | Benchmarked and renegotiated |
| Pricing model | Monthly per-provider fee | Hourly, pay for time spent |
| Contract term | Annual lock-in | Month to month |
The Process Designed to Help Post-Acute Providers Become Billable Faster
- We map every provider, facility, and payer you touch.
- We build clean CAQH, PECOS, and payer files from the start.
- We submit, then follow up until each enrollment clears.
- We reassign benefits so billing starts the day it can.
- We track every expirable so nothing lapses again.
Book a 20-Minute Credentialing Review
How HRG Pricing Works
You pay for time spent. Nothing else.
HRG bills hourly against a monthly hours budget, month to month, no minimum term. Invoices are reviewed before charging, so there are no surprise fees. The agreement is one page.
What HRG Can Prove
HRG has handled provider credentialing and contracting for 26 years. Our team is US-based and CPCS-certified.
We hold a proven record of successful hospital privileging support.
Engagements commonly complete within 60 to 75 days when documentation comes back promptly. Payer processing timelines still vary by plan.
“Their approach is both professional and highly personalized, making complex processes seamless and manageable.”
Tara Roney
Questions Post-Acute Providers Ask Before They Sign
How does HRG differ from credentialing platforms like Medallion or Verifiable?
Platforms submit applications and show you a dashboard. We do the follow-up, the appeals, and the reassignments a platform cannot. You also get direct access to the specialist doing the work.
Does HRG have experience with skilled nursing and long-term care?
Yes. We enroll attendings, nurse practitioners, and PAs across Medicare, managed Medicaid, and dual-eligible plans. We manage reassignment for clinicians who cover several facilities.
How long does HRG-supported credentialing take?
Engagements commonly complete within 60 to 75 days when documentation comes back promptly. Payer processing times still vary by plan and state.
What happens when an agency clinician covers multiple buildings?
We manage the 855R reassignment for each facility. The visits become billable everywhere the clinician works.
What if a Medicaid panel is closed?
We do not stop at the rejection. We appeal and pursue an exception with a data-backed case.
How does HRG price skilled nursing credentialing services?
Hourly, against a monthly hours budget, month to month. You pay for time spent, and invoices are reviewed before charging.
Talk to the Person Who Will Run Your Credentialing
If your clinicians are working and the claims are waiting, that gap has a cost. Book a 20-minute credentialing review with Mellissa Harmon. No pitch, no long-term contract.
Book a 20-Minute Credentialing Review
Prefer to talk now? Call (913) 951-3590.