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Code Credentia

Revolutionize Your Practice with AI-Powered Healthcare Solutions

End-to-end AI-driven medical billing, credentialing, and healthcare IT services designed to streamline operations and grow your practice.

Revolutionize Your Practice with AI-Powered Healthcare Solutions

End-to-end AI-driven medical billing, credentialing, and healthcare IT services designed to streamline operations and grow your practice.

AI-Driven Medical Billing, Credentialing & Healthcare IT Services

At Code Credentia, we deliver comprehensive, technology enabled healthcare solutions designed specifically for the U.S. healthcare market streamlining operations, maximizing revenue, and strengthening the digital presence of physicians, clinics, hospitals, and multi-specialty practices. Our AI-Driven Medical Billing, Credentialing & Healthcare IT Services are built to support practices, clinics, hospitals, and healthcare organizations of all sizes.

We combine advanced artificial intelligence, U.S.-based industry expertise, and HIPAA-, CMS-, and payer-compliant workflows to ensure accuracy, efficiency, and measurable growth across your entire revenue cycle and digital ecosystem while meeting the strict regulatory standards of American healthcare.

Revenue Cycle Management

  • Patient Registration & Demographic Verification
  • Insurance Eligibility & Benefits Verification
  • Medical Coding (ICD-10, CPT, HCPCS)
  • Charge Entry & Claim Creation
  • Claim Submission (Electronic & Paper)
  • AI-Powered Claim Scrubbing & Validation
  • Payment Posting & Reconciliation
  • Denial Management & Appeals
  • Accounts Receivable (A/R) Follow-Up
  • Patient Billing & Statements
    Learn More

Credentialing

  • Provider Enrollment with Insurance Payers
  • Primary Source Verification (PSV)
  • CAQH Profile Setup & Maintenance
  • Hospital Privileging & Network Participation
  • Re-Credentialing & Ongoing Maintenance
  • Credentialing Documentation Management
    Learn More

Healthcare IT Services

  • Website Development for Healthcare Providers
  • Search Engine Optimization (SEO) for Healthcare
  • Social Media Marketing for Healthcare
  • Digital Marketing & Online Growth Solutions
  • Google Business Profile optimization
  • Platform management (Facebook, Instagram, LinkedIn, and more)
  • Brand awareness and reputation building
  • Paid advertising campaigns (Google Ads & social media ads)
  • Content marketing and healthcare blogging

Learn More

  • Cloud Technology
  • Award Winning Usability
  • Fewer denials, faster
  • Accurate AI oversight
  • Secure compliant workflows
  • Transparent  reporting Metrics

2025 Case Study results

1st Feburary

Started On

1 Year

Review Period

$86,000 to $144,000

Collection Increased

67.4%

Revenue Increased By

Services

Effortless Medical Billing Starts Here

Our innovative revenue cycle management solutions are known for their precision and efficiency, helping healthcare providers strengthen their financial outcomes while staying compliant.

We are proud to maintain a 99% customer retention rate thanks to our commitment to customer care, data security, and cost efficiency. Our billing package includes, at no extra charge:

  • Integrated electronic medical record (EMR)
  • Comprehensive practice management
  • Secure patient portal
  • Mobile apps for iOS and Android
  • Hosting for patient records, claims, and payments
  • Vaccine management functionality

We provide everything you need to streamline your practice under one seamless platform.

Certified Partners We Work With

Maximize your revenue with Code Credentia’s complimentary AI-powered financial audit.

Our in-depth assessment reviews your entire revenue cycle, analyzes your billing workflows, and benchmarks your performance against U.S. healthcare industry standardsso you can clearly see where revenue is being lost and how to recover it.

Backed by decades of combined expertise in AI-Driven Medical Billing, Credentialing & Healthcare IT Services, our specialists identify missed reimbursement opportunities caused by coding inaccuracies, outdated fee schedules, denied or underpaid claims, and unbilled services helping your practice capture every dollar it has earned.
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Get a Complimentary Financial Audit for Your Practice

Our Clients Are Making Healthcare Better

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Code Credentia has significantly improved our home health billing accuracy. Their understanding of regulations and documentation requirements has helped us reduce denials and speed up reimbursements.

Dr. Michael Turner, MD

Internal Medicine Practice

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Frequently Asked Questions About Home Health Medical Billing

What are AI-Driven Medical Billing, Credentialing & Healthcare IT Services?

AI-Driven Medical Billing, Credentialing & Healthcare IT Services combine advanced artificial intelligence with healthcare expertise to automate billing, reduce errors, speed up reimbursements, streamline provider enrollment, and improve a practice’s digital presence. Code Credentia uses AI to optimize every part of your revenue cycle while ensuring full U.S. regulatory compliance.

How does AI improve medical billing and revenue cycle management?

AI identifies coding errors, missing charges, payer-specific rules, and claim issues before submission. This results in fewer denials, faster reimbursements, and higher collections. Code Credentia’s AI-powered RCM platform continuously analyzes your billing data to maximize revenue and reduce lost income.

What is included in Code Credentia’s medical billing services?

Our medical billing services cover the full Revenue Cycle Management (RCM) process, including patient registration, insurance verification, coding, claim submission, payment posting, denial management, A/R follow-up, patient billing, and detailed financial reporting.

How long does the provider credentialing process take?

Credentialing timelines vary by payer, but typically range from 30 to 120 days. Code Credentia accelerates the process through accurate documentation, proactive follow-ups, and complete CAQH, NPI, and payer enrollment management helping providers begin billing as quickly as possible.

Do you handle Medicare, Medicaid, and commercial insurance enrollment?

Yes. Code Credentia manages provider enrollment and credentialing with Medicare, Medicaid, and all major commercial insurance companies, ensuring providers are properly contracted and able to receive reimbursements from every eligible payer.

How do your Healthcare IT and digital marketing services help my practice grow?

Our Healthcare IT services improve your online visibility, patient acquisition, and brand credibility. We provide healthcare website development, SEO, social media marketing, paid advertising, and reputation management to help your practice attract more patients and increase appointment bookings.

Is Code Credentia HIPAA and CMS compliant?

Yes. All of our AI-Driven Medical Billing, Credentialing & Healthcare IT Services are fully HIPAA-compliant and aligned with CMS and U.S. payer regulations. We use secure systems, encrypted data handling, and compliance-driven workflows to protect patient information and ensure regulatory adherence.

What types of healthcare providers do you work with?

We serve physicians, clinics, hospitals, specialty practices, outpatient centers, mental health providers, and multi-location healthcare groups across the U.S. Our scalable solutions are tailored to meet the needs of both small practices and large healthcare organizations.

Why Choose Us?

Trusted by 500+ physicians

100+ certified medical billers and coders

End-to-End Automated Billing Solution

Up to 98% First Pass Clean Claim Rate