Credentialing & Hospital Privileging
for Medical & Surgical Specialists
Helping specialists and multi-specialty groups navigate complex hospital privileging, ASC (Ambulatory Surgery Center) facility enrollment, and commercial payer contracting.
Tailored Enrollment for High-Acuity Specialists
Expert credentialing solutions designed for medical and surgical specialists — from solo practitioners seeking hospital privileges to multi-specialty groups and ambulatory surgery centers requiring complex dual-enrollment strategies.
From ABMS board verification & Delineation of Privileges to ASC facility enrollment (CMS-855B) and surgical CPT fee schedule optimization — we handle every step so you can focus on your patients.
Navigating the Complexities of Specialist Privileging & Enrollment
Specialist physicians face an entirely different credentialing landscape than primary care. Our team navigates hospital Medical Staff Office bureaucracy, ASC dual-enrollment, and sub-specialty taxonomy compliance so you can operate without delays.
Hospital Privileging vs. Payer Paneling
— Securing hospital privileges is a completely different bureaucratic process from insurance enrollment. We handle the massive paperwork required for your hospital's Medical Staff Office (MSO), securing your Delineation of Privileges so you can operate.ASC (Ambulatory Surgery Center) Enrollment
— Opening a new surgery center? We execute dual-enrollment strategies, ensuring both your professional fees (Part B) and your facility fees (ASC facility billing) are correctly contracted with Medicare and commercial payers.Multi-Specialty Group Linkage
— Managing a massive roster of different specialties under one Tax ID is an administrative nightmare. We build customized PECOS and CAQH ProView workflows to instantly link incoming specialists to your group NPI.Board Certification & Malpractice Tracking
— If a provider's ABMS/AOA certification or Certificate of Insurance (COI) lapses, payers will freeze their claims. Our team actively tracks and updates all medical malpractice and board renewals before expirations occur.Our credentialing experts know the exact documentation and workflows required by hospital Medical Staff Offices and ASC compliance committees.
The 4-Step Specialist Credentialing Process
Deep Verification & Audit
We conduct a primary source verification (PSV) of your MD/DO licenses, fellowships, ABMS board certifications, and historical malpractice claims.
Medical Staff Privileging
We interface directly with hospital credentialing committees to submit clean packets for your admitting and surgical privileges.
Payer & Entity Submission
We establish your professional and facility billing rights with Medicare MACs, Medicaid MCOs, and major commercial health plans.
High-Acuity Contracting
We aggressively review your fee schedules for complex surgical CPT codes and prolonged service modifiers to maximize your surgical revenue.
In-Network Paneling for Major Healthcare Payers
We navigate the complex requirements for the nation's largest medical networks, Medicare MACs, Medicaid MCOs, and Medicare Advantage plans for surgical and medical specialists.
Medical & Surgical Credentialing FAQs
Common questions about our specialist credentialing, hospital privileging, and ASC enrollment services.
I am an employed surgeon moving to private practice. Can I take my insurance contracts with me?
Do you handle credentialing for Ambulatory Surgery Centers (ASCs)?
Can you help doctors obtain multi-state medical licenses?
How do you handle sub-specialties and fellowship-trained providers?
Ready to Outsource Your Specialist Credentialing?
Stop letting administrative red tape delay your operating room schedule. Let Exp Credentialing Services handle your hospital privileging and payer paneling.