How It Works

Credentialing support, without the unnecessary complexity.

Navigating provider enrollment and credentialing can be time-consuming. PM-OTG helps healthcare providers and organizations manage the process with personalized support, organized documentation, and consistent follow-up.

Whether you're enrolling with Medicare or Medicaid, applying for hospital privileges, or working through an existing enrollment issue, we'll help you understand the next steps.

1. Tell Us What You Need

Every provider and organization has different enrollment and credentialing needs. We'll start by learning about your practice, provider type, state, and the specific assistance you're looking for.

This helps us determine whether your needs align with our services and identify the appropriate next steps.

2. Receive a Customized Plan

Once we understand your needs, we'll outline the services required, anticipated scope of work, fees, and any information or documentation needed to get started.

You'll know what we're handling and what to expect before work begins.

3. Gather Your Documentation

We'll provide guidance on the information and supporting documentation needed for your enrollment or credentialing application.

Depending on the service, this may include provider identifiers, licenses, certifications, practice information, education and training history, malpractice documentation, and other required records.

4. Application Preparation & Submission

PM-OTG assists with preparing and coordinating the applicable enrollment or credentialing application based on the agreed scope of services.

Applications are reviewed for completeness, and submission is coordinated through the appropriate agency, payer, or hospital process. Provider participation and authorization requirements will be addressed as applicable.

5. Follow-Up & Status Tracking

Credentialing doesn't always end when an application is submitted. We help monitor application status, track outstanding requirements, and coordinate follow-up when additional information is requested.

If an issue arises, we'll help identify the next steps within the scope of our engagement.

6. Ongoing Enrollment Support

Depending on your needs, PM-OTG can also assist with revalidations, enrollment updates, reassignments, and other ongoing enrollment or credentialing needs.

Our goal is to help you stay organized and prepared for upcoming requirements rather than scrambling to address them at the last minute.

Ready to Get Started?

Whether you're an individual provider, a growing medical practice, or a healthcare organization, PM-OTG offers personalized support for Medicare and Medicaid enrollment, hospital credentialing for individual providers, and select commercial payer credentialing services.

Let's talk about your credentialing needs.

Please note: Enrollment and credentialing decisions are made by the applicable government agency, payer, or hospital. Processing times and approval are not guaranteed.


Frequently Asked Questions

1. What types of practices do you work with?
We work with a wide range of outpatient healthcare practices, including solo providers, group practices, and specialty clinics. Whether you're just starting out or scaling up, we tailor our services to fit your needs. We specifically have experience with orthopedics, internal medicine, behavioral health, medspa and urgent care.

2. Do you only help with startups or do you work with existing practices too?
Both! We support brand-new startups as well as established practices looking to optimize operations, systems, staffing, or leadership.

3. What makes your approach different?
We offer hands-on, customized support. We stay involved through implementation and beyond, providing practical tools, real-time troubleshooting, and leadership coaching to ensure long-term success.

4. How long does it take to start a practice?
Timelines vary depending on location, scope, and specialty, but most startups take between 3 to 6 months from initial planning to opening day. We’ll provide a detailed roadmap during onboarding.

5. Can I choose only the services I need?
Absolutely. We offer both comprehensive packages and à la carte services, so you can get exactly the support you need without paying for what you don’t.

6. Do you help with credentialing and insurance enrollment?
Yes! We offer full credentialing services, including payer enrollment, CAQH setup, and follow-up until you're contracted and ready to bill.

7. What kind of ongoing support do you provide?
If needed, we offer ongoing practice management consulting, EHR support, leadership coaching, and operations check-ins so you’re never left without a plan.

8. What are your fees?
Fees depend on the scope of your project. After your free discovery call, we’ll send a detailed proposal with service options and transparent pricing.

9. Do you offer remote services?
Yes! We work with clients throughout the U.S. and provide most of our services virtually. For projects that require it, we also offer on-site support by request..

10. How do I get started?
Simple—book a free discovery call with us. We’ll learn more about your needs and recommend the best next steps..